DR. MARK ANTHONY GENDREAU (M.D.) – Emergency Medicine Physician, NPI 1184666315

DR. MARK ANTHONY GENDREAU (M.D.) is a healthcare provider. based in Burlington, Massachusetts. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 153777 (MA). The NPI Number for DR. MARK ANTHONY GENDREAU (M.D.) is 1184666315

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ANTHONY GENDREAU (M.D.)
NPI
1184666315
Phone
(978) 538-4600
Address
LAHEY HOSPITAL & MEDICAL CTR
Enumeration Date
12 June 2006
Last Update Date
23 October 2014

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
7817448085
Graduation Year
1993 (33 years ago)
PAC ID
7810024759
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20100423000471
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK ANTHONY GENDREAU (M.D.)

  • Lahey Hospital & Medical Center, 41, Burlington Mall Road, Burlington, Middlesex County, Massachusetts, 01805, United States

    41 MALL RD

    BURLINGTON, MA 018050001

    Phone: (978) 538-4600

    Fax: (978) 538-4707

    Mailing address matches the actual address.

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 $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2023-03-29 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($144).

Total Amount

$144

General + Research + Ownership

Payments

1

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-29

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: 2010-04-23

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
I20100423000471IEmergency MedicineMATBD

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
99285Emergency department visit with high level of medical decision making2626$0
99284Emergency department visit with moderate level of medical decision making2121$0
View full utilization report →

Insurance plans in this area (ZIP 01805)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

How do payers reference DR. MARK ANTHONY GENDREAU (M.D.)?
For DR. MARK ANTHONY GENDREAU (M.D.), use NPI 1184666315 as the unique 10-digit identifier.
Active or inactive — what applies to DR. MARK ANTHONY GENDREAU (M.D.)?
You should see DR. MARK ANTHONY GENDREAU (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. MARK ANTHONY GENDREAU (M.D.)'s focus?
For DR. MARK ANTHONY GENDREAU (M.D.), the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is DR. MARK ANTHONY GENDREAU (M.D.) registered?
Use Burlington, Massachusetts as the headline location for DR. MARK ANTHONY GENDREAU (M.D.) here.
Does DR. MARK ANTHONY GENDREAU (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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