DR. MARK A HACKBARTH (MD) – Addiction Medicine (Anesthesiology) Physician, NPI 1629071527
Addiction Medicine (Anesthesiology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
86 ADDICTION MEDICINE in TX
Provider Addresses for DR. MARK A HACKBARTH (MD)
PO BOX 6605
TYLER, TX 757116605
Phone: (903) 592-6000
Fax: (903) 592-3224
Type: Mailing
300 WILSON ST
HENDERSON, TX 756525956
Phone: (903) 655-6536
Type: Location
South Broadway Avenue, Tyler, Smith County, Texas, 75703, United States
TYLER, TX 75701
Phone: (903) 592-6000
Fax: (903) 592-3224
Type: Location
910 E Houston St Ste 230
Tyler, TX 757028364
Phone: (903) 606-7300
Type: Location
910 E Houston St Ste 250
Tyler, TX 757028364
Phone: (903) 606-7300
Type: Location
619 S Fleishel Ave Ste 305
Tyler, TX 757012004
Phone: (903) 606-7400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $64.
Total Amount is formed as General ($64) + Research ($0) + Ownership ($0) = $64.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Boston Scientific Corporation ($36).
Total Amount
$64
General + Research + Ownership
Payments
3
Total payment records
General Amount
$64
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $36 |
| Nevro Corp. | $14 |
| Abbott Laboratories | $14 |
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: 2004-04-16
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 |
|---|---|---|---|---|
| I20040416001122 | I | Addiction Medicine | 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 75711)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 54 | 36 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 62311 | Injections of substances into lower or sacral spine | 80 | 68 |
| INTERVENTIONAL PAIN MANAGEMENT | TX | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 93 | 67 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice, Emergency Medicine | TX | |
| Nurse Practitioner | AR | |
| Family Practice | TX | |
| Family Practice, General Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.