MR. MARK S PRINCIPE (PA-C) – Medical Physician Assistant, NPI 1023017993
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. MARK S PRINCIPE (PA-C)
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282751649
Phone: (843) 789-1620
Fax: (843) 724-2440
Type: Mailing
Ageless Rx, 180, Wingo Way, Remleys Point, Mount Pleasant, Charleston County, South Carolina, 29464, United States
SUITE 304
MT PLEASANT, SC 294641810
Phone: (843) 884-8045
Fax: (843) 881-5081
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $520.
Total Amount is formed as General ($520) + Research ($0) + Ownership ($0) = $520.
Last reported payment date: 2024-06-05 • Largest payer in this snapshot: AngioDynamics, Inc. ($90).
Total Amount
$520
General + Research + Ownership
Payments
18
Total payment records
General Amount
$520
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-07-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060725000045 | I | Physician Assistant | SC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 111 | $0 |
| 51798 | Ultrasound measurement of bladder capacity after voiding | 58 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 54 | $0 |
| 81002 | Urinalysis, manual test | 25 | 25 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 28275)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| Orthopedic Surgery | NC | |
| Surgical Oncology | NC | |
| Physician Assistant | SC | |
| Physician Assistant | NC | |
| - | SC | |
| - | NC | |
| Family Practice | NC | |
| - | NC | |
| Physician Assistant | NC |
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