DR. MARK L DECCO (MD) – Allergy & Immunology Physician, NPI 1912083106

DR. MARK L DECCO (MD) is a healthcare provider. based in Macomb, Michigan. specializing in ALLERGY/IMMUNOLOGY, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 4301073354 (MI). The NPI Number for DR. MARK L DECCO (MD) is 1912083106

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK L DECCO (MD)
NPI
1912083106
Phone
(586) 846-3073
Address
17965 HALL RD
Enumeration Date
31 October 2006
Last Update Date
17 April 2018

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
5868463073
Graduation Year
1992 (34 years ago)
PAC ID
2860492568
Group Practice PAC ID
9931202298
Professional Enrollment ID
I20070508000150
Address ID
MI480444557MA17965RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

177 ALLERGY/IMMUNOLOGY in MI

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Provider Addresses for DR. MARK L DECCO (MD)

  • 17965, Hall Road, Macomb Township, Macomb County, Michigan, 48044, United States

    MACOMB, MI 480444557

    Phone: (586) 846-3073

    Fax: (586) 846-3074

    Type: Mailing

  • 21300, Kelly Road, Eastpointe, Macomb County, Michigan, 48021, United States

    EASTPOINTE, MI 48021

    Phone: (586) 447-4200

    Fax: (586) 447-4208

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 93 Open Payments records for all available years, with a total value of $2,228.

Total Amount is formed as General ($2,228) + Research ($0) + Ownership ($0) = $2,228.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($484).

Total Amount

$2,228

General + Research + Ownership

Payments

93

Total payment records

General Amount

$2,228

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2007-05-08

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
I20070508000150IAllergy/ImmunologyMITBD

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
95165Professional service for preparation and provision of 1 or more antigens2,00046$0
95004Test for allergy using allergenic extract76514$0
95117Professional service for multiple injections of allergen66249$0
99213Established patient office or other outpatient visit, 20-29 minutes15885$0
94375Test to measure rate of airflow8052$0
View full utilization report →

Insurance plans in this area (ZIP 48044)

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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: 9931202298View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YMI
-MI

Reviews

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Frequently asked questions

Is DR. MARK L DECCO (MD) listed with a National Provider Identifier?
Yes — DR. MARK L DECCO (MD) has NPI 1912083106 on file in the registry.
Is DR. MARK L DECCO (MD) still an active registrant?
DR. MARK L DECCO (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. MARK L DECCO (MD)'s focus?
For DR. MARK L DECCO (MD), the primary taxonomy reads as Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK L DECCO (MD)?
Directory geography for DR. MARK L DECCO (MD) centers on Macomb, Michigan.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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