MARK WEISSMAN (M.D.) – Internal Medicine Physician, NPI 1336365568

MARK WEISSMAN (M.D.) is a healthcare provider. based in Healdton, Oklahoma. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 15521 (OK). The NPI Number for MARK WEISSMAN (M.D.) is 1336365568

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
MARK WEISSMAN (M.D.)
NPI
1336365568
Phone
(580) 229-0079
Address
3472 HOSPITAL RD
Enumeration Date
17 April 2007
Last Update Date
16 May 2023

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
9182534271
Graduation Year
1974 (52 years ago)
PAC ID
3072735810
Group Practice PAC ID
5799698742
Professional Enrollment ID
I20160928000827
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MARK WEISSMAN (M.D.)

  • 3472 HOSPITAL RD

    HEALDTON, OK 734386124

    Phone: (580) 229-0079

    Fax: (580) 229-9982

    Type: Mailing

  • 700 24TH AVE NW

    NORMAN, OK 730696232

    Phone: (405) 364-0555

    Fax: (405) 573-5783

    Type: Location

  • 7815 NW 23RD ST

    BETHANY, OK 730084947

    Phone: (405) 792-2147

    Fax: (405) 603-1465

    Type: Mailing

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: 2016-09-28

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
I20141112000881IInternal MedicineOKTBD
I20160928000827IInternal MedicineTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73438)

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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: 5799698742View full group profile

Reviews

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Frequently asked questions

What is MARK WEISSMAN (M.D.)'s NPI number?
MARK WEISSMAN (M.D.)'s NPI is 1336365568 — the number used across U.S. healthcare to identify this provider.
Is MARK WEISSMAN (M.D.) shown as active in public data?
Registry records indicate MARK WEISSMAN (M.D.) maintains an active NPI.
What clinical focus is listed for MARK WEISSMAN (M.D.)?
At a glance, MARK WEISSMAN (M.D.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARK WEISSMAN (M.D.) located near Healdton?
MARK WEISSMAN (M.D.) currently maps to Healdton, Oklahoma in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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