MARK TRUXILLO (MD) – Military Health Care Provider, NPI 1588980825
Military Health Care Provider
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
452 EMERGENCY MEDICINE in KS
Provider Addresses for MARK TRUXILLO (MD)
57950 LEAVENWORTH ST BLDG 250
MCCONNELL AFB, KS 672213505
Phone: (316) 759-6300
Type: Location
355TH MEDICAL GROUP
4175 S. ALAMO AVE.
TUCSON, AZ 85707
Phone: (520) 228-2778
Type: Mailing
South Alamo Avenue, Tucson, Pima County, Arizona, 85711, United States
TUCSON, AZ 857074402
Phone: (520) 228-2778
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190820002695 | I | Emergency Medicine | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 80 | 80 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 67221)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | FL | |
| - | AZ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Clinical Psychologist | AZ | |
| O P H T H A L M O L O G Y | MN | |
| N E U R O S U R G E R Y | AZ | |
| Internal Medicine | AZ | |
| - | MI | |
| Emergency Medicine | AZ | |
| Nurse Practitioner | AZ |
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