DR. MARK A BLAIR (M.D.) – Specialist, NPI 1649226705
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
366 DERMATOLOGY in AZ
Provider Addresses for DR. MARK A BLAIR (M.D.)
2285 CORPORATE CIR
STE 200
HENDERSON, NV 890747759
Phone: (702) 360-2763
Fax: (949) 783-2880
Type: Mailing
PO BOX 650886
DEPT. 41958
DALLAS, TX 75265
Phone: (805) 919-0094
Fax: (480) 222-0269
Type: Mailing
3811 E BELL RD STE 309
PHOENIX, AZ 850322160
Phone: (602) 971-0950
Fax: (602) 992-4971
Type: Location
North 32nd Street, Paradise Valley, Phoenix, Maricopa County, Arizona, 85028, United States
PHOENIX, AZ 850327189
Phone: (602) 971-0950
Fax: (602) 992-4971
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $777.
Total Amount is formed as General ($777) + Research ($0) + Ownership ($0) = $777.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ABBVIE INC. ($214).
Total Amount
$777
General + Research + Ownership
Payments
35
Total payment records
General Amount
$777
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $214 |
| Merz North America, Inc. | $173 |
| PFIZER INC. | $80 |
| Lilly USA, LLC | $78 |
| Amgen Inc. | $69 |
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: 2004-05-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040520001459 | I | Dermatology | AZ | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,451 | 335 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 1,449 | 702 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 1,174 | 669 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 962 | 601 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 719 | 445 | $0 |
Insurance plans in this area (ZIP 89074)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | AZ | 17003 | Destruction of 2-14 skin growths | 2434 | 321 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Pediatric Medicine | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | CA | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | AZ |
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