MARK GODFREY PARKER (M.D.) – Nephrology Physician, NPI 1770583346

MARK GODFREY PARKER (M.D.) is a healthcare provider. based in Portland, Maine. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 014988 (ME). The NPI Number for MARK GODFREY PARKER (M.D.) is 1770583346

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
MARK GODFREY PARKER (M.D.)
NPI
1770583346
Phone
(207) 774-5222
Address
1600 Congress St Ste B
Enumeration Date
26 July 2005
Last Update Date
22 September 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1989 (37 years ago)
PAC ID
0042107690
Group Practice PAC ID
7517860588
Professional Enrollment ID
I20040301000156
Address ID
ME041023134PO22XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

60 NEPHROLOGY in ME

Provider Addresses for MARK GODFREY PARKER (M.D.)

  • 1600 Congress St Ste B

    Portland, ME 041022148

    Phone: (207) 774-5222

    Type: Location

  • Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041023134

    Phone: (207) 662-0111

    Type: Mailing

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: 2004-03-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040301000156INephrologyMETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
76775Limited ultrasound scan behind abdominal cavity2727$0
99214Established patient office or other outpatient visit, 30-39 minutes2115$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 04102)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517860588View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MARK GODFREY PARKER (M.D.) in U.S. healthcare records?
The official identifier for MARK GODFREY PARKER (M.D.) is NPI 1770583346.
Active or inactive — what applies to MARK GODFREY PARKER (M.D.)?
You should see MARK GODFREY PARKER (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is MARK GODFREY PARKER (M.D.)?
MARK GODFREY PARKER (M.D.) is associated with Nephrology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK GODFREY PARKER (M.D.)?
Travel planning: use Portland, Maine as the reference point for MARK GODFREY PARKER (M.D.), then confirm.
When was this NPI issued?
Enumeration for MARK GODFREY PARKER (M.D.) is noted as July 26, 2005 where the registry provides it.

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