DR. MARK DAVID RICHARDSON (M.D.) – Family Medicine Physician, NPI 1669449443

DR. MARK DAVID RICHARDSON (M.D.) is a healthcare provider. based in Marshall, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 4301047635 (MI). The NPI Number for DR. MARK DAVID RICHARDSON (M.D.) is 1669449443

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK DAVID RICHARDSON (M.D.)
NPI
1669449443
Phone
(269) 781-3938
Address
215 E MANSION ST
Enumeration Date
1 March 2006
Last Update Date
15 March 2016

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2319358930
Graduation Year
1983 (43 years ago)
PAC ID
9133259401
Group Practice PAC ID
4183514706
Professional Enrollment ID
I20100612000069
Address ID
MI496847205TR4290XDRXX417
Telehealth
Yes
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

4,418 FAMILY PRACTICE in MI

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Provider Addresses for DR. MARK DAVID RICHARDSON (M.D.)

  • 215, East Mansion Street, Marshall, Calhoun County, Michigan, 49068, United States

    SUITE 1E

    MARSHALL, MI 490681559

    Phone: (269) 781-3938

    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 39 Open Payments records for all available years, with a total value of $668.

Total Amount is formed as General ($668) + Research ($0) + Ownership ($0) = $668.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: ABBVIE INC. ($224).

Total Amount

$668

General + Research + Ownership

Payments

39

Total payment records

General Amount

$668

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

Latest reported date

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: 2010-06-12

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
I20100612000069IFamily PracticeMITBD

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 minutes394196$0
99213Established patient office or other outpatient visit, 20-29 minutes297156$0
G0008Administration of influenza virus vaccine6767$0
90662Influenza vaccine split virus, preservative free6363$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3535$0
View full utilization report →

Insurance plans in this area (ZIP 49068)

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Provider's Procedures

DR. MARK DAVID RICHARDSON (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI81002Urinalysis, manual test2017
FAMILY MEDICINEMI83036Hemoglobin A1C level4343

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: 4183514706View full group profile
NameSpecialtyState
Family PracticeMI
Nurse PractitionerMI
Physician AssistantMI
Osteopathic Manipulative Medicine, Family PracticeMI
Family PracticeMI
Family PracticeMI
-MI
Physician AssistantMI
Family PracticeMI
Family PracticeMI

Reviews

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Frequently asked questions

Does DR. MARK DAVID RICHARDSON (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK DAVID RICHARDSON (M.D.) uses 1669449443.
Does the file indicate DR. MARK DAVID RICHARDSON (M.D.) is practicing under active NPI?
Directory data currently reports DR. MARK DAVID RICHARDSON (M.D.) as active.
What is DR. MARK DAVID RICHARDSON (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. MARK DAVID RICHARDSON (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK DAVID RICHARDSON (M.D.) on a map?
Expect Marshall, Michigan as a primary anchor for DR. MARK DAVID RICHARDSON (M.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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