DR. MARK PFAFF – Specialist, NPI 1194728469

DR. MARK PFAFF is a healthcare provider. based in Elkton, Maryland. specializing in ORTHOPEDIC SURGERY. They hold a License No. H0-063647 (MD). The NPI Number for DR. MARK PFAFF is 1194728469

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK PFAFF
NPI
1194728469
Phone
(410) 996-8686
Address
160 RAILROAD AVE
Enumeration Date
31 May 2005
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
4109968686
Graduation Year
1998 (28 years ago)
PAC ID
1254393416
Professional Enrollment ID
I20051117000409
Address ID
MD219215538EL160XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Digital endpointsOther names

712 ORTHOPEDIC SURGERY in MD

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Provider Addresses for DR. MARK PFAFF

  • 160 RAILROAD AVE

    ELKTON, MD 219215538

    Phone: (410) 996-8686

    Fax: (410) 398-8997

    Type: Mailing

  • Railroad Avenue, Elkton Heights, Elkton, Cecil County, Maryland, 21921, United States

    ELKTON, MD 219215538

    Phone: (410) 996-8686

    Fax: (410) 398-8997

    Type: Location

  • PO BOX 190

    ELKTON, MD 219220190

    Phone: (410) 398-4679

    Fax: (410) 620-3686

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $435.

Total Amount is formed as General ($435) + Research ($0) + Ownership ($0) = $435.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Stryker Corporation ($343).

Total Amount

$435

General + Research + Ownership

Payments

5

Total payment records

General Amount

$435

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-11-17

PECOS data refreshed: 2026-06-15

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
I20051117000409IOrthopedic SurgeryMDTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,524244$0
99214Established patient office or other outpatient visit, 30-39 minutes519284$0
20610Aspiration and/or injection of fluid from large joint467237$0
99213Established patient office or other outpatient visit, 20-29 minutes322222$0
99203New patient office or other outpatient visit, 30-44 minutes183183$0
View full utilization report →

Insurance plans in this area (ZIP 21921)

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Provider's Procedures

DR. MARK PFAFF performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMD20610Aspiration and/or injection of large joint or joint capsule487301
ORTHOPEDIC SURGERYMD27447Repair of knee joint2929

Reviews

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Frequently asked questions

Does DR. MARK PFAFF share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK PFAFF uses 1194728469.
Is DR. MARK PFAFF listed as active for patients and plans?
The listing shows DR. MARK PFAFF as active in the NPI system.
What taxonomy line describes DR. MARK PFAFF?
For research purposes, treat DR. MARK PFAFF as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. MARK PFAFF list a practice location?
Patients near Elkton, Maryland may find DR. MARK PFAFF in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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