MARK HACKER (P.A.-C.) – Physician Assistant, NPI 1861591836
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,036 PHYSICIAN ASSISTANT in OH
Provider Addresses for MARK HACKER (P.A.-C.)
1320 W Main St
Newark, OH 430551822
Phone: (220) 564-7153
Type: Location
Licking Memorial Hospital, 1320, West Main Street, Newark, Licking County, Ohio, 43055, United States
NEWARK, OH 43055
Phone: (220) 564-4151
Fax: (220) 564-7153
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Novo Nordisk Inc ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $17 |
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: 2016-06-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (895 days ago).
Enrollment records
2
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20090528000138 | I | Physician Assistant | OH | 2023-12-31 |
| I20160621000305 | I | Physician Assistant | CA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 | 154 | 150 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 55 | $0 |
| 81003 | Automated urinalysis test | 25 | 25 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 21 | 21 | $0 |
| 87502 | Detection test by nucleic acid for multiple types influenza virus | 20 | 20 | $0 |
Insurance plans in this area (ZIP 43055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| A N E S T H E S I O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| A N E S T H E S I O L O G Y | OH | |
| A N E S T H E S I O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| Nurse Practitioner | OH |
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