MARK DAVIDOV (M.D.) – Anesthesiology Physician, NPI 1154571164

MARK DAVIDOV (M.D.) is a healthcare provider. based in Pomona, New Jersey. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301097628 (MI). The NPI Number for MARK DAVIDOV (M.D.) is 1154571164

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MARK DAVIDOV (M.D.)
NPI
1154571164
Phone
Not provided
Address
65 W JIMMIE LEEDS RD
Enumeration Date
25 September 2008
Last Update Date
25 August 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6096521000
Graduation Year
2005 (21 years ago)
PAC ID
9032347562
Group Practice PAC ID
0648181578
Professional Enrollment ID
I20140108001073
Address ID
NJ082409102PO65XXXRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,668 ANESTHESIOLOGY in NJ

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Provider Addresses for MARK DAVIDOV (M.D.)

  • West Jimmie Leeds Road, Pinehurst, Galloway Township, Atlantic County, New Jersey, 08205, United States

    POMONA, NJ 082409102

    Phone:

    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 2 Open Payments records for all available years, with a total value of $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($19).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2026-03-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140108001073IAnesthesiologyNJTBD
I20260303003059IAnesthesiologyPATBD

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
36620Insertion of artery tube for blood sampling or infusion through skin3131$0
93503Insertion of tube in pulmonary artery for monitoring2323$0
76937Ultrasonic guidance for blood vessel access2322$0
76942Ultrasonic guidance for needle placement1616$0
64447Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve)1616$0
View full utilization report →

Insurance plans in this area (ZIP 08240)

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Provider's Procedures

MARK DAVIDOV (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYNJ36556Insertion of central venous catheter for infusion, patient 5 years or older1111
ANESTHESIOLOGYNJ76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1919

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: 0648181578View full group profile
NameSpecialtyState
-NJ
-PA
Internal MedicineNJ
A N E S T H E S I O L O G YNJ
Physician AssistantNJ
Certified Registered Nurse Anesthetist (Crna)NJ
A N E S T H E S I O L O G YPA
-NJ
Physician AssistantNJ
Certified Registered Nurse Anesthetist (Crna)NJ

Reviews

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Frequently asked questions

What federal number belongs to MARK DAVIDOV (M.D.)?
The federal identifier for MARK DAVIDOV (M.D.) is NPI 1154571164.
Is MARK DAVIDOV (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MARK DAVIDOV (M.D.)'s specialty in plain language?
Clinically, the directory lists MARK DAVIDOV (M.D.) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK DAVIDOV (M.D.)?
The page summarizes Pomona, New Jersey for MARK DAVIDOV (M.D.); expand the address list for detail.
How can I contact MARK DAVIDOV (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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