MARK W. GREENWELL (M.D.) – Nephrology Physician, NPI 1184681371

MARK W. GREENWELL (M.D.) is a healthcare provider. based in Idabel, Oklahoma. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 29498 (OK). The NPI Number for MARK W. GREENWELL (M.D.) is 1184681371

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MARK W. GREENWELL (M.D.)
NPI
1184681371
Phone
(903) 785-3300
Address
1104 E Lincoln Rd
Enumeration Date
1 May 2006
Last Update Date
20 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
9037853300
Graduation Year
1999 (27 years ago)
PAC ID
6800808387
Group Practice PAC ID
6901862242
Professional Enrollment ID
I20130117000319
Address ID
OK747457364ID1104XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

123 NEPHROLOGY in OK

Provider Addresses for MARK W. GREENWELL (M.D.)

  • 1104 E Lincoln Rd

    Idabel, OK 747457364

    Phone: (903) 785-3300

    Fax: (903) 785-3310

    Type: Location

  • 105 Medical Cir Bldg 3

    Sulphur Springs, TX 754822138

    Phone: (903) 785-3300

    Fax: (903) 785-3310

    Type: Location

  • 1133 MEDICAL DR

    TYLER, TX 757012130

    Phone: (903) 595-5486

    Fax: (903) 595-5128

    Type: Mailing

  • 635, Stone Avenue, Paris, Lamar County, Texas, 75460, United States

    PARIS, TX 754609342

    Phone: (903) 785-3300

    Fax: (903) 785-3310

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $118.

Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.

Last reported payment date: 2024-01-30 • Largest payer in this snapshot: Ascendis Pharma Inc ($75).

Total Amount

$118

General + Research + Ownership

Payments

6

Total payment records

General Amount

$118

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-30

Latest reported date

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: 2013-01-17

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
I20120906000268INephrologyTXTBD
I20130117000319INephrologyOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes506354$0
90970Dialysis services, per day, less than full month service (20 years or older)40624$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes358109$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes295127$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)25774$0
View full utilization report →

Insurance plans in this area (ZIP 74745)

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Provider's Procedures

MARK W. GREENWELL (M.D.) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90935Hemodialysis procedure with one physician evaluation13452
NEPHROLOGYTX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older18391
NEPHROLOGYTX90966Home dialysis services per month, patient 20 years of age or older27437

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: 6901862242View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nephrology, Internal MedicineTX
Nephrology, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX

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Frequently asked questions

How do I look up MARK W. GREENWELL (M.D.) by NPI?
Use NPI 1184681371 when you need to reference MARK W. GREENWELL (M.D.) in forms, claims, or directories.
Is MARK W. GREENWELL (M.D.) active in the national directory?
MARK W. GREENWELL (M.D.)'s public NPI profile is in an active state.
Can you summarize MARK W. GREENWELL (M.D.)'s specialty in plain language?
Clinically, the directory lists MARK W. GREENWELL (M.D.) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARK W. GREENWELL (M.D.)?
We surface Idabel, Oklahoma for MARK W. GREENWELL (M.D.) based on available NPPES addresses.
What if Idabel, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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