DR. MARK D PACKER (MD) – Otology & Neurotology Physician, NPI 1760470686
Otology & Neurotology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
123 OTOLARYNGOLOGY in UT
Provider Addresses for DR. MARK D PACKER (MD)
Mercy David C. Pratt Cancer Center - St. Louis, 607, South New Ballas Road, Creve Coeur, Saint Louis County, Missouri, 63141, United States
SUITE 2300
ST LOUIS, MO 631418234
Phone: (314) 251-6394
Fax: (314) 251-4235
Type: Mailing
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone:
Type: Mailing
4403 HARRISON BLVD STE 2645
OGDEN, UT 844033278
Phone: (801) 387-2880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Optinose US, Inc. ($70).
Total Amount
$288
General + Research + Ownership
Payments
14
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Optinose US, Inc. | $70 |
| Regeneron Healthcare Solutions, Inc. | $48 |
| GlaxoSmithKline, LLC. | $40 |
| Acclarent, Inc | $38 |
| Acera Surgical, Inc. | $24 |
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: 2025-12-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161005002534 | I | Otolaryngology | MO | TBD |
| I20251209003892 | I | Otolaryngology | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 295 | 217 | $0 |
| 69210 | Removal of impacted ear wax | 212 | 161 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 210 | 210 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 102 | $0 |
| 31575 | Diagnostic exam of voice box using a flexible endoscope | 32 | 28 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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