MARK A KANDUTSCH (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1194795799
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARK A KANDUTSCH (M.D.)
Mount Desert Island Hospital, 10, Wayman Lane, Bar Harbor, Hancock County, Maine, 04609, United States
BAR HARBOR, ME 046091625
Phone: (207) 288-5081
Fax: (207) 288-8449
Type: Mailing
322, Main Street, Bar Harbor, Hancock County, Maine, 04609, United States
BAR HARBOR, ME 046091648
Phone: (207) 288-5081
Fax: (207) 288-8449
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $19.
Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.
Last reported payment date: 2023-09-05 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($19).
Total Amount
$19
General + Research + Ownership
Payments
1
Total payment records
General Amount
$19
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $19 |
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: 2008-06-26
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 |
|---|---|---|---|---|
| I20080626000457 | I | Family Practice | ME | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 04609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | ME | |
| Family Practice | ME | |
| Internal Medicine | ME | |
| Cardiovascular Disease (Cardiology), Internal Medicine | ME | |
| - | ME | |
| Clinical Psychologist | ME | |
| Physician Assistant | ME | |
| Orthopedic Surgery | ME | |
| Nurse Practitioner | ME | |
| Family Practice, Hospitalist | ME |
Reviews
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