MR. MARK A SR. MAZZYE (PA-C) – Physician Assistant, NPI 1295713592
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
Provider Addresses for MR. MARK A SR. MAZZYE (PA-C)
6 BLACKSTONE VALLEY PL
LINCOLN, RI 028651179
Phone: (401) 302-8821
Type: Location
CNY Diagnostic Imaging, 1000, East Genesee Street, Near Eastside, Syracuse, Onondaga County, New York, 13210-1053, United States
STE 500
SYRACUSE, NY 132101885
Phone: (315) 471-8388
Fax: (315) 471-8019
Type: Mailing
5586, Legionnaire Drive, Town of Cicero, Onondaga County, New York, 13039, United States
SUITE 1
CICERO, NY 130393504
Phone: (315) 699-2837
Fax: (315) 752-9506
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: 2021-06-17
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 |
|---|---|---|---|---|
| I20210617002470 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 109 | 34 | $0 |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 02865)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | NY | 83036 | Hemoglobin A1C level | 26 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA | |
| Physician Assistant | RI | |
| Family Practice | RI | |
| Internal Medicine | RI | |
| Family Practice | RI | |
| Nurse Practitioner | RI | |
| Physician Assistant | MA | |
| Physician Assistant | CT | |
| Internal Medicine | RI | |
| Nurse Practitioner | RI |
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