DR. MARK D PRINCE (MD) – Gastroenterology Physician, NPI 1629061171

DR. MARK D PRINCE (MD) is a healthcare provider. based in Dallas, Texas. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 35969 (TN). The NPI Number for DR. MARK D PRINCE (MD) is 1629061171

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK D PRINCE (MD)
NPI
1629061171
Phone
(903) 324-6400
Address
PO BOX 846098
Enumeration Date
30 August 2005
Last Update Date
19 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
4880883917
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20140911001103
Address ID
TX752846098DAPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,498 GASTROENTEROLOGY in TX

Provider Addresses for DR. MARK D PRINCE (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752846098

    Phone: (903) 324-6400

    Type: Mailing

  • 2026 S Jackson St

    Jacksonville, TX 757665822

    Phone: (903) 586-5678

    Type: Location

  • 910 E HOUSTON ST STE 470

    TYLER, TX 757028365

    Phone: (903) 510-8718

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $566.

Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($244).

Total Amount

$566

General + Research + Ownership

Payments

12

Total payment records

General Amount

$566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-09-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140911001103IGastroenterologyTXTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes188125$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes159156$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes116102$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8684$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3434$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

DR. MARK D PRINCE (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYTX45378Diagnostic examination of large bowel using an endoscope1414

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: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC
Physician AssistantLA
Hospitalist, GastroenterologyTX

Reviews

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Frequently asked questions

Does DR. MARK D PRINCE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK D PRINCE (MD) uses 1629061171.
Does CMS list DR. MARK D PRINCE (MD) as active?
Yes — DR. MARK D PRINCE (MD) is active in the NPI listing used on this page.
What is DR. MARK D PRINCE (MD) best known for clinically?
Directory data describes DR. MARK D PRINCE (MD) with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MARK D PRINCE (MD) based?
DR. MARK D PRINCE (MD) is tied to Dallas, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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