MARK FRANCIS OBENRADER (MD PHD) – Family Medicine Physician, NPI 1083698229
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
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Provider Addresses for MARK FRANCIS OBENRADER (MD PHD)
American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States
PHILADELPHIA, PA 191820933
Phone: (215) 540-8408
Fax: (215) 540-8418
Type: Mailing
515, Pennsylvania Avenue, Fort Washington, Upper Dublin Township, Montgomery County, Pennsylvania, 19034, United States
2ND FL SUITE A
FORT WASHINGTON, PA 190343314
Phone: (215) 540-8408
Fax: (215) 540-8418
Type: Location
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 $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2023-06-09 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $18 |
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: 2005-02-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050201000820 | I | Family Practice | PA | 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 | 381 | 228 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 331 | 331 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 179 | 159 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 178 | 38 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 144 | 34 | $0 |
Insurance plans in this area (ZIP 19182)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 90670 | Pneumococcal vaccine for injection into muscle | 89 | 89 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| Family Practice | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| Internal Medicine | PA | |
| N E U R O L O G Y | PA | |
| Anesthesiology, Pain Management | CA | |
| Internal Medicine, Hospitalist | PA | |
| Internal Medicine | PA | |
| P O D I A T R Y | PA |
Reviews
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