MARK LANE MADENWALD (MD) – Emergency Medicine Physician, NPI 1932197662

MARK LANE MADENWALD (MD) is a healthcare provider. based in Flower mound, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. J2173 (TX). The NPI Number for MARK LANE MADENWALD (MD) is 1932197662

Main info

Male
Sole Proprietor
35 Years Of Experience
Accepts Medicare Assignment
Name
MARK LANE MADENWALD (MD)
NPI
1932197662
Phone
(214) 513-2800
Address
5304 PRINCE LN
Enumeration Date
6 October 2005
Last Update Date
18 September 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9036761000
Graduation Year
1991 (35 years ago)
PAC ID
7214065879
Group Practice PAC ID
1850204363
Professional Enrollment ID
I20100503000547
Address ID
TX757515610AT2000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,051 EMERGENCY MEDICINE in TX

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Provider Addresses for MARK LANE MADENWALD (MD)

  • 5304, Prince Lane, Flower Mound, Denton County, Texas, 75022, United States

    FLOWER MOUND, TX 750228103

    Phone: (214) 513-2800

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-05-03

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
I20100503000547IEmergency MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making413378$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only273219$0
99284Emergency department visit with moderate level of medical decision making134133$0
99291Critical care, first 30-74 minutes3131$0
99283Emergency department visit with low level of medical decision making1717$0
View full utilization report →

Insurance plans in this area (ZIP 75022)

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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: 1850204363View full group profile

Reviews

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Frequently asked questions

How do I look up MARK LANE MADENWALD (MD) by NPI?
Use NPI 1932197662 when you need to reference MARK LANE MADENWALD (MD) in forms, claims, or directories.
Is MARK LANE MADENWALD (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MARK LANE MADENWALD (MD) list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for MARK LANE MADENWALD (MD). Clinical services aligned with this taxonomy classification.
Does MARK LANE MADENWALD (MD) practice in Texas?
You will see Flower Mound, Texas on file for MARK LANE MADENWALD (MD) 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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