DR. MARK BRASWELL (DO) – Dermatology Physician, NPI 1023409422
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for DR. MARK BRASWELL (DO)
2200 Bergquist Dr
Ste 1
Jbsa Lackland, TX 782369907
Phone: (210) 916-5545
Type: Location
310 W LOSEY ST
SCOTT AFB, IL 622255250
Phone:
Type: Mailing
310 W Losey St
Scott AFB, IL 622255250
Phone: (618) 256-7571
Type: Location
3250 ZEMKE AVE
TAMPA, FL 336215023
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $558.
Total Amount is formed as General ($558) + Research ($0) + Ownership ($0) = $558.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: ABBVIE INC. ($258).
Total Amount
$558
General + Research + Ownership
Payments
23
Total payment records
General Amount
$558
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $258 |
| E.R. Squibb & Sons, L.L.C. | $149 |
| GENZYME CORPORATION | $38 |
| Regeneron Healthcare Solutions, Inc. | $29 |
| Janssen Biotech, Inc. | $27 |
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: 2020-12-11
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 |
|---|---|---|---|---|
| I20201211001365 | I | Dermatology | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 119 | 26 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 41 | 34 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 34 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 25 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 19 | 11 | $0 |
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | TX | |
| Physician Assistant | MO | |
| D E R M A T O L O G Y | MO | |
| Physician Assistant | MO | |
| - | MO | |
| D E R M A T O L O G Y | MO |
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