DR. MARK STOLTENBERG (M.D., M.A.) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1114280310

DR. MARK STOLTENBERG (M.D., M.A.) is a healthcare provider. based in Boston, ma 02114, Massachusetts. specializing in INTERNAL MEDICINE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D., M.A.. They hold a License No. 1053657270 (IL). The NPI Number for DR. MARK STOLTENBERG (M.D., M.A.) is 1114280310

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK STOLTENBERG (M.D., M.A.)
NPI
1114280310
Phone
(617) 643-3596
Address
55 FRUIT STREET
Enumeration Date
21 June 2012
Last Update Date
19 September 2016

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6177240287
Graduation Year
2012 (14 years ago)
PAC ID
2466769732
Group Practice PAC ID
2466365820
Professional Enrollment ID
I20161111001317
Address ID
MA021142696BO55XXXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for DR. MARK STOLTENBERG (M.D., M.A.)

  • 55 FRUIT STREET

    FOUNDERS OFFICE 600

    BOSTON, MA 02114, MA 02114

    Phone: (617) 643-3596

    Type: Mailing

  • 55 FRUIT ST

    FOUNDERS OFFICE 600

    BOSTON, MA 021142621

    Phone: (617) 643-3596

    Type: Location

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: 2016-11-11

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
I20161111001317IHospice/Palliative CareMATBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8143$0
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th3817$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2620$0
99285Emergency department visit with high level of medical decision making2322$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2221$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 2466365820View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Diagnostic RadiologyMA
Nephrology, Internal MedicineMA
Nurse PractitionerMA
P A T H O L O G YNY
P A T H O L O G YMA
P S Y C H I A T R YMA
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology)MA
H E M A T O L O G Y/ O N C O L O G YMA
N E U R O L O G YMA

Reviews

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Frequently asked questions

What identifier follows DR. MARK STOLTENBERG (M.D., M.A.) across health systems?
The NPI 1114280310 uniquely identifies DR. MARK STOLTENBERG (M.D., M.A.) in U.S. healthcare data.
Is DR. MARK STOLTENBERG (M.D., M.A.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARK STOLTENBERG (M.D., M.A.) as active.
What services align with DR. MARK STOLTENBERG (M.D., M.A.)'s listing?
DR. MARK STOLTENBERG (M.D., M.A.)'s public classification highlights Hospice and Palliative Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. MARK STOLTENBERG (M.D., M.A.) in Boston, Ma 02114, Massachusetts?
For routing, start with Boston, Ma 02114, Massachusetts for DR. MARK STOLTENBERG (M.D., M.A.), then verify phone and hours locally.
Can I export DR. MARK STOLTENBERG (M.D., M.A.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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