MR. MARK ANDREW ROUNTREE (P.A.) – Physician Assistant, NPI 1265414775

MR. MARK ANDREW ROUNTREE (P.A.) is a healthcare provider. based in Ocean springs, Mississippi. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. The NPI Number for MR. MARK ANDREW ROUNTREE (P.A.) is 1265414775

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK ANDREW ROUNTREE (P.A.)
NPI
1265414775
Phone
(701) 240-4191
Address
113 BRACKISH PL
Enumeration Date
18 November 2005
Last Update Date
11 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2288758291
Graduation Year
2002 (24 years ago)
PAC ID
6002040722
Group Practice PAC ID
1153338330
Professional Enrollment ID
I20131014000654
Address ID
MS395643421OC1137XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

396 PHYSICIAN ASSISTANT in MS

Provider Addresses for MR. MARK ANDREW ROUNTREE (P.A.)

  • 113 BRACKISH PL

    OCEAN SPRINGS, MS 395643220

    Phone: (701) 240-4191

    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 64 Open Payments records for all available years, with a total value of $1,339.

Total Amount is formed as General ($1,339) + Research ($0) + Ownership ($0) = $1,339.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: CSL Behring ($378).

Total Amount

$1,339

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2013-10-14

PECOS data refreshed: 2026-06-15

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
I20131014000654IPhysician AssistantMSTBD

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 minutes345252$0
69210Removal of impacted ear wax185153$0
99203New patient office or other outpatient visit, 30-44 minutes139139$0
View full utilization report →

Insurance plans in this area (ZIP 39564)

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Provider's Procedures

MR. MARK ANDREW ROUNTREE (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMS83036Hemoglobin A1C level1111

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: 1153338330View full group profile
NameSpecialtyState
-MS
A L L E R G Y/ I M M U N O L O G YMS
-MS
O T O L A R Y N G O L O G YMS
O T O L A R Y N G O L O G YMS

Reviews

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Frequently asked questions

What NPI should I save for MR. MARK ANDREW ROUNTREE (P.A.)?
Save NPI 1265414775 if you need a stable reference for MR. MARK ANDREW ROUNTREE (P.A.).
Does this profile mean MR. MARK ANDREW ROUNTREE (P.A.) is currently active?
Yes — MR. MARK ANDREW ROUNTREE (P.A.) appears active in the national provider directory.
What does MR. MARK ANDREW ROUNTREE (P.A.) treat or focus on?
Patients typically see MR. MARK ANDREW ROUNTREE (P.A.) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. MARK ANDREW ROUNTREE (P.A.)'s primary listing?
We display Ocean Springs, Mississippi because that is what the record indicates for MR. MARK ANDREW ROUNTREE (P.A.).
Is MR. MARK ANDREW ROUNTREE (P.A.) a real provider?
This page reflects official NPPES data for NPI 1265414775. Always confirm identity and privileges with the practice and licensing boards.

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