MARK P BOMBARDIER (PA) – Surgical Physician Assistant, NPI 1043738131

MARK P BOMBARDIER (PA) is a healthcare provider. based in Springfield, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA6282 (MA). The NPI Number for MARK P BOMBARDIER (PA) is 1043738131

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MARK P BOMBARDIER (PA)
NPI
1043738131
Phone
(413) 794-3909
Address
280 CHESTNUT ST FL 2
Enumeration Date
8 September 2017
Last Update Date
24 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135868200
Graduation Year
2017 (9 years ago)
PAC ID
0244597599
Group Practice PAC ID
2567359839
Professional Enrollment ID
I20171122001005
Address ID
MA010889562WE4XXXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MARK P BOMBARDIER (PA)

  • Chestnut Street, Spring Branch, Springfield, Effingham County, Georgia, 31329, United States

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-3909

    Type: Mailing

  • 48, Sanderson Street, Greenfield, Franklin County, Massachusetts, 01301, United States

    GREENFIELD, MA 013012778

    Phone: (413) 773-2220

    Fax: (413) 733-2567

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-02-05 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-05

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: 2022-09-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20171122001005IPhysician AssistantMATBD
I20220906003258IPhysician AssistantCOTBD

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 mg11022$0
27447Replacement of knee joint, both sides of knee3837$0
99213Established patient office or other outpatient visit, 20-29 minutes3332$0
73564X-ray of knee, 4 or more views3125$0
20610Aspiration and/or injection of fluid from large joint2826$0
View full utilization report →

Insurance plans in this area (ZIP 01199)

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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: 2567359839View full group profile
NameSpecialtyState
Physician AssistantMA
-MA
Physician AssistantMA
-MA
Physician AssistantMA
Family PracticeMA
Family PracticeMA
Certified Nurse Midwife (Cnm)MA
Nurse PractitionerMA
-MA

Reviews

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Frequently asked questions

What unique ID ties claims to MARK P BOMBARDIER (PA)?
NPI 1043738131 is assigned to MARK P BOMBARDIER (PA) under the national enumeration system.
Is MARK P BOMBARDIER (PA) currently active in the NPI registry?
CMS-published data lists MARK P BOMBARDIER (PA) as an active registrant.
Does MARK P BOMBARDIER (PA) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for MARK P BOMBARDIER (PA). Clinical services aligned with this taxonomy classification.
Where does public data place MARK P BOMBARDIER (PA)?
The snapshot lists Springfield, Massachusetts for MARK P BOMBARDIER (PA); download NPPES for the complete set.
What if Springfield, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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