MARK BOSTON (M.D.) – Pediatric Otolaryngology Physician, NPI 1023000601
Pediatric Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 OTOLARYNGOLOGY in TX
Provider Addresses for MARK BOSTON (M.D.)
2200 BERGQUIST DR
59TH SSS/SGOSO, STE 100
LACKLAND AFB, TX 782369907
Phone: (210) 292-5623
Type: Mailing
333 N SANTA ROSA ST
SAN ANTONIO, TX 782073108
Phone: (210) 704-4039
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $2,295.
Total Amount is formed as General ($2,295) + Research ($0) + Ownership ($0) = $2,295.
Last reported payment date: 2024-06-25 • Largest payer in this snapshot: Smith+Nephew, Inc. ($1,144).
Total Amount
$2,295
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,295
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $1,144 |
| Integra LifeSciences Corporation | $1,074 |
| Cochlear Americas | $77 |
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: 2011-03-09
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 |
|---|---|---|---|---|
| I20110309000966 | I | Otolaryngology | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | FL | |
| Nurse Practitioner | TX | |
| Pediatric Medicine, Rheumatology | TX |
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