MARK E MEYER (M.D.) – Neurological Surgery Physician, NPI 1104806678

MARK E MEYER (M.D.) is a healthcare provider. based in Kalamazoo, Michigan. specializing in Neurological Surgery Physician. They hold the professional credentials M.D.. They hold a License No. 4301056522 (MI). The NPI Number for MARK E MEYER (M.D.) is 1104806678

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MARK E MEYER (M.D.)
NPI
1104806678
Phone
(269) 343-1264
Address
1541 GULL RD
Enumeration Date
19 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
4082526496
Group Practice PAC ID
7315856077
Professional Enrollment ID
I20050805000625
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARK E MEYER (M.D.)

  • 1541, Gull Road, Charter Township of Comstock, Kalamazoo County, Michigan, 49001, United States

    SUITE 200

    KALAMAZOO, MI 490481639

    Phone: (269) 343-1264

    Fax: (269) 343-9555

    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)

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: 2005-08-05

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
I20050805000625INeurosurgeryMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49048)

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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: 7315856077View full group profile
NameSpecialtyState
Nurse PractitionerMI
Internal MedicineMI
-MI
-IN
Gastroenterology, Internal MedicineMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Emergency MedicineMI
N E U R O L O G YMI
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseMI

Reviews

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Frequently asked questions

What number should I use to identify MARK E MEYER (M.D.) for billing?
Administrative and clinical systems typically use NPI 1104806678 for MARK E MEYER (M.D.).
Should I treat MARK E MEYER (M.D.) as an active provider?
Patients and plans typically see MARK E MEYER (M.D.) as active in the national extract.
What type of care does MARK E MEYER (M.D.) provide?
MARK E MEYER (M.D.)'s profile centers on Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MARK E MEYER (M.D.)?
MARK E MEYER (M.D.) shows a connection to Kalamazoo, Michigan in registry-derived data.
Can I export MARK E MEYER (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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