TANNER MARK BZDEL (PA) – Medical Physician Assistant, NPI 1831736388

TANNER MARK BZDEL (PA) is a healthcare provider. based in Southampton, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA8025 (MA). The NPI Number for TANNER MARK BZDEL (PA) is 1831736388

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TANNER MARK BZDEL (PA)
NPI
1831736388
Phone
Not provided
Address
3 COURTNEY LN
Enumeration Date
3 December 2019
Last Update Date
27 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
5698178598
Group Practice PAC ID
5991602971
Professional Enrollment ID
I20210729003435
Address ID
MA011991001SP280XXSTXX312
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for TANNER MARK BZDEL (PA)

  • 3 COURTNEY LN

    SOUTHAMPTON, MA 010739646

    Phone:

    Type: Mailing

  • 819 WORCESTER ST STE 1

    SPRINGFIELD, MA 011511056

    Phone: (413) 304-2501

    Fax: (413) 789-0290

    Type: Mailing

  • 759 CHESTNUT ST STE C3350

    SPRINGFIELD, MA 011071619

    Phone: (413) 794-6297

    Fax: (413) 794-1767

    Type: Location

  • 280 CHESTNUT ST FL 2

    SPRINGFIELD, MA 011991001

    Phone: (413) 794-5700

    Type: Mailing

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: 2021-07-29

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
I20210729003435IPhysician AssistantMATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes232142$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes113107$0
99239Hospital discharge day management, more than 30 minutes108104$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8786$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6951$0
View full utilization report →

Insurance plans in this area (ZIP 01073)

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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: 5991602971View full group profile

Reviews

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Frequently asked questions

What NPI should I save for TANNER MARK BZDEL (PA)?
Save NPI 1831736388 if you need a stable reference for TANNER MARK BZDEL (PA).
Is TANNER MARK BZDEL (PA)'s NPI currently valid?
The extract we use shows TANNER MARK BZDEL (PA) as active.
Does TANNER MARK BZDEL (PA) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for TANNER MARK BZDEL (PA). Clinical services aligned with this taxonomy classification.
What location shows for TANNER MARK BZDEL (PA)?
We surface Southampton, Massachusetts for TANNER MARK BZDEL (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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