MARK DZIEMIANOWICZ (MD) – Radiation Oncology Physician, NPI 1154776029

MARK DZIEMIANOWICZ (MD) is a healthcare provider. based in Chester, Pennsylvania. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. DR0072435 (CO). The NPI Number for MARK DZIEMIANOWICZ (MD) is 1154776029

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MARK DZIEMIANOWICZ (MD)
NPI
1154776029
Phone
(610) 874-6114
Address
1 MEDICAL CENTER BLVD
Enumeration Date
28 April 2016
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9708104593
Graduation Year
2016 (10 years ago)
PAC ID
3779852454
Group Practice PAC ID
6800031386
Professional Enrollment ID
I20240405002096
Address ID
CO806315154GR1801XSTXX300
Telehealth
Yes

Contacts

Secure Messaging
mdziemianowicz46775@direct.crmcwy.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

419 RADIATION ONCOLOGY in PA

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Provider Addresses for MARK DZIEMIANOWICZ (MD)

  • The Boulevard, Riverlights, Little Chester, Derby, East Midlands, England, DE1 2BB, United Kingdom

    DEPT. OF MEDICINE, 3 EAST

    CHESTER, PA 190133902

    Phone: (610) 874-6114

    Type: Location

  • 1801 16TH ST

    GREELEY, CO 80631

    Phone: (970) 810-3894

    Fax: (970) 810-3897

    Type: Mailing

  • 310 E 24TH ST

    CHEYENNE, WY 820013126

    Phone: (307) 633-7003

    Fax: (307) 633-7818

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $356.

Total Amount is formed as General ($356) + Research ($0) + Ownership ($0) = $356.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Elekta, Inc. ($103).

Total Amount

$356

General + Research + Ownership

Payments

14

Total payment records

General Amount

$356

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2024-04-05

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
I20240405002096IRadiation OncologyCOTBD

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
77014Ct guidance for insertion of radiation therapy fields1,59567$0
77427Radiation treatment management, 5 treatment sessions524114$0
77300Calculation of radiation therapy dose488112$0
77334Design and construction of complex radiation treatment device350110$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy26537$0
View full utilization report →

Insurance plans in this area (ZIP 19013)

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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: 6800031386View full group profile

Reviews

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Frequently asked questions

How do payers reference MARK DZIEMIANOWICZ (MD)?
For MARK DZIEMIANOWICZ (MD), use NPI 1154776029 as the unique 10-digit identifier.
Is MARK DZIEMIANOWICZ (MD) still an active registrant?
MARK DZIEMIANOWICZ (MD) carries an active NPI according to the public dataset.
What expertise is attributed to MARK DZIEMIANOWICZ (MD)?
MARK DZIEMIANOWICZ (MD)'s specialty line reads Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
Is MARK DZIEMIANOWICZ (MD) associated with Chester?
Public fields place MARK DZIEMIANOWICZ (MD) around Chester, Pennsylvania. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.