MARK D EDEN (MD) – Family Medicine Physician, NPI 1275528119

MARK D EDEN (MD) is a healthcare provider. based in Fredericksburg, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. H6187 (TX). The NPI Number for MARK D EDEN (MD) is 1275528119

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK D EDEN (MD)
NPI
1275528119
Phone
(830) 997-9497
Address
820 REUBEN ST STE B
Enumeration Date
16 September 2005
Last Update Date
14 January 2016

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
8628033966
Professional Enrollment ID
I20041129000095
Address ID
TX786244533FR820XXBXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for MARK D EDEN (MD)

  • 820 REUBEN ST STE B

    FREDERICKSBURG, TX 786244583

    Phone: (830) 997-9497

    Fax: (830) 997-5677

    Mailing address matches the actual address.

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: 2004-11-29

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
I20041129000095IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes811287$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit303303$0
G0444Annual depression screening, 5 to 15 minutes298298$0
J0696Injection, ceftriaxone sodium, per 250 mg24048$0
17003Destruction of precancer skin growth, 2-14 growths22831$0
View full utilization report →

Insurance plans in this area (ZIP 78624)

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Provider's Procedures

MARK D EDEN (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle9696

Reviews

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Frequently asked questions

What is the standard ID for MARK D EDEN (MD) in the U.S.?
In the U.S., MARK D EDEN (MD) is identified by NPI 1275528119.
Quick check: is MARK D EDEN (MD) active?
Public NPPES data shows MARK D EDEN (MD) with an active NPI status right now.
What does the directory say MARK D EDEN (MD) does?
Insurance directories may phrase it differently, but here MARK D EDEN (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MARK D EDEN (MD) tied to Fredericksburg, Texas?
If you are local to Fredericksburg, Texas, MARK D EDEN (MD) may be relevant to your search.
Who maintains MARK D EDEN (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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