MR. MARK RICHARD WILLIAMS (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1669575478

MR. MARK RICHARD WILLIAMS (DPM) is a healthcare provider. based in Davison, Michigan. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. MW001983 (MI). The NPI Number for MR. MARK RICHARD WILLIAMS (DPM) is 1669575478

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK RICHARD WILLIAMS (DPM)
NPI
1669575478
Phone
(810) 653-9060
Address
PO BOX 480
Enumeration Date
7 September 2006
Last Update Date
28 June 2013

Doctor Profile

Medical School Name
KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8106539060
Graduation Year
1997 (29 years ago)
PAC ID
7517959182
Group Practice PAC ID
6608866223
Professional Enrollment ID
I20040401001647
Address ID
MI484231515DA605XXRDXX400
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

753 PODIATRY in MI

Provider Addresses for MR. MARK RICHARD WILLIAMS (DPM)

  • PO BOX 480

    DAVISON, MI 48423

    Phone: (810) 653-9060

    Fax: (810) 658-2248

    Type: Mailing

  • 605 S STATE ST

    DAVISON, MI 48423

    Phone: (810) 653-9060

    Fax: (810) 658-2248

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $2,126.

Total Amount is formed as General ($2,126) + Research ($0) + Ownership ($0) = $2,126.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($1,382).

Total Amount

$2,126

General + Research + Ownership

Payments

30

Total payment records

General Amount

$2,126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2004-04-01

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
I20040401001647IPodiatryMITBD

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
11721Removal of fingernails or toenails, 6 or more nails399202$0
99213Established patient office or other outpatient visit, 20-29 minutes376275$0
11042Removal of skin and tissue, 20.0 sq cm or less24556$0
73630X-ray of foot, minimum of 3 views197124$0
11720Removal of fingernails or toenails, 1-5 nails15388$0
View full utilization report →

Insurance plans in this area (ZIP 48423)

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Provider's Procedures

MR. MARK RICHARD WILLIAMS (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYMI11042Removal of skin and tissue first 20 sq cm or less26726
PODIATRYMI11720Removal of tissue from 1 to 5 finger or toe nails15963

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: 6608866223View full group profile
NameSpecialtyState
P O D I A T R YMI

Reviews

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Frequently asked questions

What unique ID ties claims to MR. MARK RICHARD WILLIAMS (DPM)?
NPI 1669575478 is assigned to MR. MARK RICHARD WILLIAMS (DPM) under the national enumeration system.
Is MR. MARK RICHARD WILLIAMS (DPM) active in the national directory?
MR. MARK RICHARD WILLIAMS (DPM)'s public NPI profile is in an active state.
What field does MR. MARK RICHARD WILLIAMS (DPM) work in?
You can think of MR. MARK RICHARD WILLIAMS (DPM) as practicing within Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Where does public data place MR. MARK RICHARD WILLIAMS (DPM)?
The snapshot lists Davison, Michigan for MR. MARK RICHARD WILLIAMS (DPM); download NPPES for the complete set.
Is MR. MARK RICHARD WILLIAMS (DPM) a real provider?
This page reflects official NPPES data for NPI 1669575478. Always confirm identity and privileges with the practice and licensing boards.

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