MARK FASULO (MD) – Cardiovascular Disease Physician, NPI 1366686487

MARK FASULO (MD) is a healthcare provider. based in Beaumont, Texas. specializing in INTERVENTIONAL CARDIOLOGY, INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials MD. They hold a License No. M9273 (TX). The NPI Number for MARK FASULO (MD) is 1366686487

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MARK FASULO (MD)
NPI
1366686487
Phone
(409) 892-1192
Address
755 N 11TH ST
Enumeration Date
21 April 2009
Last Update Date
28 March 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
4099243996
Graduation Year
2006 (20 years ago)
PAC ID
2567512718
Group Practice PAC ID
2466630421
Professional Enrollment ID
I20090609000382
Address ID
TX777021593BE755XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

780 INTERVENTIONAL CARDIOLOGY in TX

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Provider Addresses for MARK FASULO (MD)

  • 755, North 11th Street, Beaumont, Jefferson County, Texas, 78734, United States

    P2200

    BEAUMONT, TX 777021513

    Phone: (409) 892-1192

    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)

CMS reports 72 Open Payments records for all available years, with a total value of $9,226.

Total Amount is formed as General ($1,324) + Research ($7,902) + Ownership ($0) = $9,226.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Eli Lilly and Company ($7,902).

Total Amount

$9,226

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,324

General payments

Research Amount

$7,902

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2009-06-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090609000382IInterventional CardiologyTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1,1641,048$0
J2785Injection, regadenoson, 0.1 mg844211$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function739616$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report461424$0
99213Established patient office or other outpatient visit, 20-29 minutes291285$0
View full utilization report →

Insurance plans in this area (ZIP 77702)

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Provider's Procedures

MARK FASULO (MD) performs procedures in INTERVENTIONAL CARDIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERVENTIONAL CARDIOLOGYTX92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin4335
INTERVENTIONAL CARDIOLOGYTX93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report209190
INTERVENTIONAL CARDIOLOGYTX93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart205103
INTERVENTIONAL CARDIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1313

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: 2466630421View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX

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Frequently asked questions

What NPI should I save for MARK FASULO (MD)?
Save NPI 1366686487 if you need a stable reference for MARK FASULO (MD).
Is MARK FASULO (MD)'s NPI currently valid?
The extract we use shows MARK FASULO (MD) as active.
What field does MARK FASULO (MD) work in?
You can think of MARK FASULO (MD) as practicing within Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Does MARK FASULO (MD) practice in Texas?
You will see Beaumont, Texas on file for MARK FASULO (MD) alongside any extra practice locations.
What if Beaumont, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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