MARK R MOUNT (MD) – Otolaryngology Physician, NPI 1811950264

MARK R MOUNT (MD) is a healthcare provider. based in Coon rapids, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 43216 (MN). The NPI Number for MARK R MOUNT (MD) is 1811950264

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MARK R MOUNT (MD)
NPI
1811950264
Phone
(763) 236-9000
Address
11850 Blackfoot St NW
Enumeration Date
7 April 2006
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2172246423
Graduation Year
1990 (36 years ago)
PAC ID
7416921945
Group Practice PAC ID
3072422534
Professional Enrollment ID
I20200418000297
Address ID
IL623012719QU927XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

273 OTOLARYNGOLOGY in MN

Provider Addresses for MARK R MOUNT (MD)

  • 11850 Blackfoot St NW

    Ste 300

    Coon Rapids, MN 554332772

    Phone: (763) 236-9000

    Type: Location

  • 1005 BROADWAY ST

    QUINCY, IL 623012834

    Phone: (217) 223-8400

    Type: Mailing

  • 927 BROADWAY ST

    QUINCY, IL 623012719

    Phone: (217) 214-3844

    Fax: (217) 277-5585

    Type: Location

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • Allina Health Mercy Pharmacy, 11850, Blackfoot Street Northwest, Coon Rapids, Anoka County, Minnesota, 55433, United States

    STE 300

    COON RAPIDS, MN 554332772

    Phone: (763) 236-9000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $2,119.

Total Amount is formed as General ($2,119) + Research ($0) + Ownership ($0) = $2,119.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Acclarent, Inc ($1,723).

Total Amount

$2,119

General + Research + Ownership

Payments

29

Total payment records

General Amount

$2,119

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: 2020-04-18

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
I20200418000297IOtolaryngologyILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes10460$0
99203New patient office or other outpatient visit, 30-44 minutes9595$0
92504Exam of ear using a microscope8151$0
31575Diagnostic exam of voice box using a flexible endoscope5846$0
69210Removal of impacted ear wax3124$0
View full utilization report →

Insurance plans in this area (ZIP 55433)

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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: 3072422534View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
N E U R O L O G YMI
Radiation OncologyIL
Nurse PractitionerIL
Nurse PractitionerIL
Pain Management, AnesthesiologyIL
Family Practice, Emergency MedicineIL
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

Can I verify MARK R MOUNT (MD) with an NPI only?
You can start verification with NPI 1811950264 for MARK R MOUNT (MD), then check state licensing separately.
Can I rely on MARK R MOUNT (MD) being an active provider?
As of the registry snapshot, MARK R MOUNT (MD) is marked active.
What taxonomy line describes MARK R MOUNT (MD)?
For research purposes, treat MARK R MOUNT (MD) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does MARK R MOUNT (MD) list a practice location?
Patients near Coon Rapids, Minnesota may find MARK R MOUNT (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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