MARK P. GANNON (MD) – Surgery Physician, NPI 1265437974

MARK P. GANNON (MD) is a healthcare provider. based in Jefferson hills, Pennsylvania. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. MD038841E (PA). The NPI Number for MARK P. GANNON (MD) is 1265437974

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
MARK P. GANNON (MD)
NPI
1265437974
Phone
(412) 469-7110
Address
1200 BROOKS LANE
Enumeration Date
17 June 2005
Last Update Date
5 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Secondary Phone
4124697110
Graduation Year
1986 (40 years ago)
PAC ID
6204901754
Group Practice PAC ID
5496820946
Professional Enrollment ID
I20080818000537
Address ID
PA150253759JE1200XLNXX301

Contacts

Secure Messaging
mgannon134709@direct.ahn.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,999 GENERAL SURGERY in PA

Loading map...

Provider Addresses for MARK P. GANNON (MD)

  • 1200, Brooks Lane, Jefferson Hills, Allegheny County, Pennsylvania, 15025, United States

    170

    JEFFERSON HILLS, PA 150253749

    Phone: (412) 469-7110

    Fax: (412) 469-8965

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2023-03-07 • Largest payer in this snapshot: Stryker Corporation ($38).

Total Amount

$38

General + Research + Ownership

Payments

1

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$38
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: 2008-08-18

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
I20080818000537IGeneral SurgeryPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5246$0
99212Established patient office or other outpatient visit, 10-19 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 15025)

Loading plans...

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: 5496820946View full group profile
NameSpecialtyState
General SurgeryPA
Physician AssistantWV
General SurgeryPA
General SurgeryPA
Physician AssistantPA
Colorectal Surgery (Proctology)PA
Physician AssistantPA
Physician AssistantPA
Colorectal Surgery (Proctology)PA
General SurgeryCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for MARK P. GANNON (MD) in U.S. healthcare records?
The official identifier for MARK P. GANNON (MD) is NPI 1265437974.
Is MARK P. GANNON (MD) shown as active in public data?
Registry records indicate MARK P. GANNON (MD) maintains an active NPI.
What kind of doctor is MARK P. GANNON (MD)?
MARK P. GANNON (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK P. GANNON (MD)?
Travel planning: use Jefferson Hills, Pennsylvania as the reference point for MARK P. GANNON (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

CHARLES W. CLINE (MD)

Surgery Physician
1200, Brooks Lane, Jefferson Hills, Allegheny County, Pennsylvania, 15025, United States
NPI: 1033114749

ARNOLD E FINGERET (MD)

Surgery Physician
1200, Brooks Lane, Jefferson Hills, Allegheny County, Pennsylvania, 15025, United States
NPI: 1770584658
1200, Brooks Lane, Jefferson Hills, Allegheny County, Pennsylvania, 15025, United States
NPI: 1164475091
1200, Brooks Lane, Jefferson Hills, Allegheny County, Pennsylvania, 15025, United States
NPI: 1255545216
1200, Brooks Lane, Jefferson Hills, Allegheny County, Pennsylvania, 15025, United States
NPI: 1487813515
575, Coal Valley Road, Jefferson Hills, Allegheny County, Pennsylvania, 15025, United States
NPI: 1619130242

DR. ANUJ PARIKH (D.O.)

Surgery Physician
4300 Londonderry Rd
NPI: 1801100607
263 FARMINGTON AVE
NPI: 1891131462

SAMANTHA FALLS (DO)

Surgery Physician
1200 BROOKS LN STE 170
NPI: 1912404005