MARK T. COLLINS (MD) – Family Medicine Physician, NPI 1073550661

MARK T. COLLINS (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 220849 (MA). The NPI Number for MARK T. COLLINS (MD) is 1073550661

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MARK T. COLLINS (MD)
NPI
1073550661
Phone
(800) 225-8885
Address
PO BOX 415348
Enumeration Date
1 June 2006
Last Update Date
28 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
9785346500
Graduation Year
1996 (30 years ago)
PAC ID
0143290247
Group Practice PAC ID
5597755322
Professional Enrollment ID
I20040727001215
Address ID
MA014530000LE225XXRDXX400
Telehealth
Yes

Contacts

Secure Messaging
mcollins111581@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,899 FAMILY PRACTICE in MA

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Provider Addresses for MARK T. COLLINS (MD)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • 563, Main Street, Bolton, Worcester County, Massachusetts, 01740, United States

    BOLTON, MA 017401300

    Phone: (978) 586-3939

    Fax: (978) 586-3955

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($125).

Total Amount

$149

General + Research + Ownership

Payments

2

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2004-07-27

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
I20040727001215IFamily PracticeMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes246152$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9494$0
G0008Administration of influenza virus vaccine5554$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage4746$0
99213Established patient office or other outpatient visit, 20-29 minutes3432$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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Provider's Procedures

MARK T. COLLINS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMA90670Pneumococcal vaccine for injection into muscle1414

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: 5597755322View full group profile
NameSpecialtyState
D E R M A T O L O G YMA
Internal MedicineMA
-MA
-MA
Emergency MedicineMA
Physical Therapist In Private PracticeMA
Physician AssistantMA
Family PracticeMA
Clinical PsychologistMA
-MA

Reviews

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Frequently asked questions

Does MARK T. COLLINS (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARK T. COLLINS (MD) uses 1073550661.
Can I rely on MARK T. COLLINS (MD) being an active provider?
As of the registry snapshot, MARK T. COLLINS (MD) is marked active.
What taxonomy line describes MARK T. COLLINS (MD)?
For research purposes, treat MARK T. COLLINS (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is MARK T. COLLINS (MD) based?
MARK T. COLLINS (MD) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
Is the information about MARK T. COLLINS (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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