MARK WILLIAM VERGAUWEN (PA-C) – Physician Assistant, NPI 1700801685

MARK WILLIAM VERGAUWEN (PA-C) is a healthcare provider. based in Lewisburg, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA003550L (PA). The NPI Number for MARK WILLIAM VERGAUWEN (PA-C) is 1700801685

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK WILLIAM VERGAUWEN (PA-C)
NPI
1700801685
Phone
(570) 522-4110
Address
1 HOSPITAL DR STE 306
Enumeration Date
13 July 2006
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
1951392711
Group Practice PAC ID
9133033087
Professional Enrollment ID
I20040520000527
Address ID
PA178379394LE3XXXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

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Provider Addresses for MARK WILLIAM VERGAUWEN (PA-C)

  • 1 HOSPITAL DR STE 306

    LEWISBURG, PA 178379350

    Phone: (570) 522-4110

    Fax: (570) 768-3911

    Type: Mailing

  • 111, Copeland Spring Trail, Allensville, Mifflin County, Pennsylvania, 17002, United States

    MIFFLINBURG, PA 178440111

    Phone: (570) 522-4110

    Fax: (570) 522-4120

    Type: Mailing

  • 601 MEMORY LN

    YORK, PA 174022231

    Phone: (717) 851-1405

    Type: Mailing

  • Lewisburg, Greenbrier County, West Virginia, 24901, United States

    LEWISBURG, PA 178379350

    Phone: (570) 522-4264

    Fax: (570) 522-4155

    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 $200.

Total Amount is formed as General ($200) + Research ($0) + Ownership ($0) = $200.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Abbott Laboratories ($90).

Total Amount

$200

General + Research + Ownership

Payments

6

Total payment records

General Amount

$200

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-05-20

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
I20040520000527IPhysician AssistantPATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes321154$0
99239Hospital discharge day management, more than 30 minutes153148$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes13879$0
View full utilization report →

Insurance plans in this area (ZIP 17837)

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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: 9133033087View full group profile
NameSpecialtyState
Emergency MedicinePA
Orthopedic SurgeryPA
Certified Registered Nurse Anesthetist (Crna)PA
N E U R O L O G YPA
Qualified AudiologistPA
Certified Registered Nurse Anesthetist (Crna)PA
Cardiovascular Disease (Cardiology)PA
-PA
-PA
Physician AssistantPA

Reviews

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Frequently asked questions

What NPI should I save for MARK WILLIAM VERGAUWEN (PA-C)?
Save NPI 1700801685 if you need a stable reference for MARK WILLIAM VERGAUWEN (PA-C).
Is MARK WILLIAM VERGAUWEN (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MARK WILLIAM VERGAUWEN (PA-C)'s specialty in plain language?
Clinically, the directory lists MARK WILLIAM VERGAUWEN (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MARK WILLIAM VERGAUWEN (PA-C)?
The snapshot lists Lewisburg, Pennsylvania for MARK WILLIAM VERGAUWEN (PA-C); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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