MARK R GERSHENBAUM (DO) – Hospitalist Physician, NPI 1982665782

MARK R GERSHENBAUM (DO) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in Hospitalist Physician. They hold the professional credentials DO. They hold a License No. 25MB04672200 (NJ). The NPI Number for MARK R GERSHENBAUM (DO) is 1982665782

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
MARK R GERSHENBAUM (DO)
NPI
1982665782
Phone
(800) 777-2455
Address
PO BOX 13700-1901
Enumeration Date
31 March 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7324310023
Graduation Year
1984 (42 years ago)
PAC ID
8527959543
Group Practice PAC ID
4486754223
Professional Enrollment ID
I20040322000173
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARK R GERSHENBAUM (DO)

  • PO BOX 13700-1901

    PHILADELPHIA, PA 191911901

    Phone: (800) 777-2455

    Fax: (610) 617-6280

    Type: Mailing

  • CentraState Medical Center, 901, West Main Street, Woodcrest, West Freehold, Freehold, Monmouth County, New Jersey, 07728, United States

    FREEHOLD, NJ 07728

    Phone: (732) 294-2666

    Fax: (732) 431-8267

    Type: Location

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: 2004-03-22

PECOS data refreshed: 2026-06-15

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
I20040322000173IFamily PracticeNJTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2,584652$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes861412$0
99239Hospital discharge day management, more than 30 minutes718584$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes687576$0
99291Critical care, first 30-74 minutes9574$0
View full utilization report →

Insurance plans in this area (ZIP 19191)

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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: 4486754223View full group profile

Reviews

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Frequently asked questions

How is MARK R GERSHENBAUM (DO) identified in CMS data?
CMS-hosted NPPES data lists MARK R GERSHENBAUM (DO) with NPI 1982665782.
Does the file indicate MARK R GERSHENBAUM (DO) is practicing under active NPI?
Directory data currently reports MARK R GERSHENBAUM (DO) as active.
What is MARK R GERSHENBAUM (DO)'s primary classification?
Hospitalist Physician is the headline specialty for MARK R GERSHENBAUM (DO) here. Clinical services aligned with this taxonomy classification.
Does MARK R GERSHENBAUM (DO) list a practice location?
Patients near Philadelphia, Pennsylvania may find MARK R GERSHENBAUM (DO) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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