MARK THOMPSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1750733119

MARK THOMPSON (DPM) is a healthcare provider. based in Lake worth, Texas. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 2398 (TX). The NPI Number for MARK THOMPSON (DPM) is 1750733119

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MARK THOMPSON (DPM)
NPI
1750733119
Phone
(817) 238-8400
Address
6312 AZLE AVE
Enumeration Date
11 July 2016
Last Update Date
8 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063223338
Graduation Year
2016 (10 years ago)
PAC ID
0547558728
Group Practice PAC ID
1052635034
Professional Enrollment ID
I20190802000988
Address ID
TX791196578AM5109XSQXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:9State licenses:3Digital endpointsOther names

1,097 PODIATRY in TX

Provider Addresses for MARK THOMPSON (DPM)

  • 6312 AZLE AVE

    LAKE WORTH, TX 761352442

    Phone: (817) 238-8400

    Fax: (817) 238-8401

    Type: Location

  • 5109 LEXINGTON SQ STE 200

    AMARILLO, TX 79119

    Phone: (806) 322-3338

    Fax: (806) 322-7653

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $477.

Total Amount is formed as General ($477) + Research ($0) + Ownership ($0) = $477.

Last reported payment date: 2024-09-28 • Largest payer in this snapshot: Pylant Medical ($161).

Total Amount

$477

General + Research + Ownership

Payments

14

Total payment records

General Amount

$477

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-28

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: 2019-08-02

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
I20190802000988IPodiatryTXTBD

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 minutes12284$0
99203New patient office or other outpatient visit, 30-44 minutes9797$0
11721Removal of fingernails or toenails, 6 or more nails5032$0
73630X-ray of foot, minimum of 3 views4635$0
99212Established patient office or other outpatient visit, 10-19 minutes3328$0
View full utilization report →

Insurance plans in this area (ZIP 76135)

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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: 1052635034View full group profile
NameSpecialtyState
P O D I A T R YPA
P O D I A T R YTX
P O D I A T R YTX

Reviews

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Frequently asked questions

What unique ID ties claims to MARK THOMPSON (DPM)?
NPI 1750733119 is assigned to MARK THOMPSON (DPM) under the national enumeration system.
Is MARK THOMPSON (DPM) active in the national directory?
MARK THOMPSON (DPM)'s public NPI profile is in an active state.
Does MARK THOMPSON (DPM) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for MARK THOMPSON (DPM). Clinical services aligned with this taxonomy classification.
Does MARK THOMPSON (DPM) practice in Texas?
You will see Lake Worth, Texas on file for MARK THOMPSON (DPM) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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