MARK MATTHEW MIMS (MD) – Otolaryngology Physician, NPI 1679991475

MARK MATTHEW MIMS (MD) is a healthcare provider. based in Houston, Texas. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 35702 (OK). The NPI Number for MARK MATTHEW MIMS (MD) is 1679991475

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MARK MATTHEW MIMS (MD)
NPI
1679991475
Phone
(210) 241-6275
Address
1 HERMANN PARK CT APT 470
Enumeration Date
31 March 2014
Last Update Date
16 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
4052714311
Graduation Year
2014 (12 years ago)
PAC ID
4183953995
Group Practice PAC ID
5991105876
Professional Enrollment ID
I20200812003655
Address ID
OK731045420OK900XXSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

399 OTOLARYNGOLOGY in NC

Provider Addresses for MARK MATTHEW MIMS (MD)

  • 1 HERMANN PARK CT APT 470

    HOUSTON, TX 770212296

    Phone: (210) 241-6275

    Type: Mailing

  • 101 MANNING DR # 7070

    CHAPEL HILL, NC 27514

    Phone: (919) 843-7091

    Type: Location

  • 101 Manning Dr # 7070

    Chapel Hill, NC 27514

    Phone: (919) 843-7091

    Type: Location

  • 203 Lothrop St

    Suite 500

    Pittsburgh, PA 152132548

    Phone: (210) 241-6275

    Type: Location

  • 800 STANTON L YOUNG BLVD # 1400

    OKLAHOMA CITY, OK 731045018

    Phone: (210) 241-6275

    Type: Mailing

  • 825 NE 10TH ST STE 4C

    OKLAHOMA CITY, OK 731045417

    Phone: (405) 271-1368

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $2,858.

Total Amount is formed as General ($2,858) + Research ($0) + Ownership ($0) = $2,858.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: AXOGEN ($1,678).

Total Amount

$2,858

General + Research + Ownership

Payments

26

Total payment records

General Amount

$2,858

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

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: 2020-08-12

PECOS data refreshed: 2026-06-15

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
I20200812003655IOtolaryngologyOKTBD

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 minutes5345$0
99214Established patient office or other outpatient visit, 30-39 minutes2826$0
99203New patient office or other outpatient visit, 30-44 minutes1616$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 77021)

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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: 5991105876View full group profile
NameSpecialtyState
R H E U M A T O L O G YOK
Orthopedic Surgery, Hand SurgeryOK
A N E S T H E S I O L O G YOK
Hospitalist, Internal MedicineOK
Pediatric Medicine, Hematology/OncologyVA
Pulmonary Disease, Internal MedicineOK
Clinical PsychologistOK
Emergency MedicineOK
Critical Care (Intensivists), Pediatric MedicineOK
Endocrinology, Pediatric MedicineOK

Reviews

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Frequently asked questions

Is MARK MATTHEW MIMS (MD) listed with a National Provider Identifier?
Yes — MARK MATTHEW MIMS (MD) has NPI 1679991475 on file in the registry.
Would MARK MATTHEW MIMS (MD) appear as active to a payer?
You can treat MARK MATTHEW MIMS (MD) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MARK MATTHEW MIMS (MD)?
At a glance, MARK MATTHEW MIMS (MD) is tied to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MARK MATTHEW MIMS (MD)?
Travel planning: use Houston, Texas as the reference point for MARK MATTHEW MIMS (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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