MARK ALLEN FLESHER (PA-C) – Physician Assistant, NPI 1780867002

MARK ALLEN FLESHER (PA-C) is a healthcare provider. based in Benbrook, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MARK ALLEN FLESHER (PA-C) is 1780867002

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MARK ALLEN FLESHER (PA-C)
NPI
1780867002
Phone
(817) 731-9400
Address
6311 SOUTHWEST BLVD
Enumeration Date
10 December 2007
Last Update Date
2 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
5092885020
Group Practice PAC ID
1456355031
Professional Enrollment ID
I20080603000610
Address ID
TX761321063FO6311XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:18State licenses:0Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MARK ALLEN FLESHER (PA-C)

  • 6311, Southwest Boulevard, Benbrook, Tarrant County, Texas, 76132, United States

    BENBROOK, TX 761321063

    Phone: (817) 731-9400

    Fax: (817) 731-4282

    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 9 Open Payments records for all available years, with a total value of $464.

Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Nalu Medical, Inc. ($422).

Total Amount

$464

General + Research + Ownership

Payments

9

Total payment records

General Amount

$464

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2008-06-03

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
I20080603000610IPhysician AssistantTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76132)

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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: 1456355031View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX

Reviews

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Frequently asked questions

How do payers reference MARK ALLEN FLESHER (PA-C)?
For MARK ALLEN FLESHER (PA-C), use NPI 1780867002 as the unique 10-digit identifier.
Is there an active status for MARK ALLEN FLESHER (PA-C)?
For scheduling context, MARK ALLEN FLESHER (PA-C) is shown as active in the registry.
What expertise is attributed to MARK ALLEN FLESHER (PA-C)?
MARK ALLEN FLESHER (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is MARK ALLEN FLESHER (PA-C) registered?
Use Benbrook, Texas as the headline location for MARK ALLEN FLESHER (PA-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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