DR. MARK J TERELETSKY (DO) – Internal Medicine Physician, NPI 1881673614

DR. MARK J TERELETSKY (DO) is a healthcare provider. based in Massillon, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 34-004475 (OH). The NPI Number for DR. MARK J TERELETSKY (DO) is 1881673614

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK J TERELETSKY (DO)
NPI
1881673614
Phone
(330) 837-1111
Address
323 MARION AVE NW
Enumeration Date
11 January 2006
Last Update Date
27 May 2010

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
3302638326
Graduation Year
1983 (43 years ago)
PAC ID
8426079849
Group Practice PAC ID
9032297627
Professional Enrollment ID
I20051213000847
Address ID
OH446912342WO1761XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

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Provider Addresses for DR. MARK J TERELETSKY (DO)

  • Marion Avenue Southeast, Walnut Hills, Massillon, Stark County, Ohio, 44646, United States

    SUITE 200

    MASSILLON, OH 446463639

    Phone: (330) 837-1111

    Fax: (330) 837-1769

    Type: Mailing

  • 830, South Main Street, Orrville, Wayne County, Ohio, 44667, United States

    ORRVILLE, OH 446672291

    Phone: (330) 684-1300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-12-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051213000847IInternal MedicineOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes272126$0
99239Hospital discharge day management, more than 30 minutes163155$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5334$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5048$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 44646)

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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: 9032297627View full group profile
NameSpecialtyState
General SurgeryOH
Internal MedicineOH
Orthopedic SurgeryOH
Cardiovascular Disease (Cardiology)OH
Physician AssistantOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Physician AssistantOH
Pulmonary Disease, Critical Care (Intensivists)OH
Physician AssistantOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

How is DR. MARK J TERELETSKY (DO) identified in CMS data?
CMS-hosted NPPES data lists DR. MARK J TERELETSKY (DO) with NPI 1881673614.
Is DR. MARK J TERELETSKY (DO) still practicing?
DR. MARK J TERELETSKY (DO) is currently listed as active in the public NPI registry.
What is DR. MARK J TERELETSKY (DO)'s specialty?
The listing groups DR. MARK J TERELETSKY (DO) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does DR. MARK J TERELETSKY (DO) serve?
DR. MARK J TERELETSKY (DO)'s listing highlights Massillon, Ohio; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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