MARK D. JEWETT (M.D.) – Internal Medicine Physician, NPI 1518072040

MARK D. JEWETT (M.D.) is a healthcare provider. based in Randolph, Vermont. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 0420005709 (VT). The NPI Number for MARK D. JEWETT (M.D.) is 1518072040

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
MARK D. JEWETT (M.D.)
NPI
1518072040
Phone
(802) 767-3704
Address
PO BOX 2000
Enumeration Date
21 August 2006
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8027673704
Graduation Year
1973 (53 years ago)
PAC ID
0345434007
Group Practice PAC ID
2668624982
Professional Enrollment ID
I20101027000698
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MARK D. JEWETT (M.D.)

  • Randolph Post Office, 819, North Wendover Road, Grier Heights, Charlotte, Mecklenburg County, North Carolina, 28211, United States

    RANDOLPH, VT 050602000

    Phone: (802) 767-3704

    Fax: (802) 728-2394

    Type: Mailing

  • 44, Main Street, Elkins, Randolph County, West Virginia, 26241, United States

    RANDOLPH, VT 050601381

    Phone: (802) 767-3704

    Fax: (802) 728-2394

    Type: Location

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: 2010-10-27

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
I20101027000698IInternal MedicineVTTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4737$0
View full utilization report →

Insurance plans in this area (ZIP 05060)

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Provider's Procedures

MARK D. JEWETT (M.D.) performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEVT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report551438

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: 2668624982View full group profile
NameSpecialtyState
Nurse PractitionerVT
Nurse PractitionerNH
Family PracticeVT
-VT
-NH
-VT
Internal Medicine, Rheumatology, Rheumatology, HospitalistNY
Nurse PractitionerGA
Family PracticeVT
Mental Health CounselorVT

Reviews

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Frequently asked questions

Is there an official ID for MARK D. JEWETT (M.D.) in U.S. healthcare records?
The official identifier for MARK D. JEWETT (M.D.) is NPI 1518072040.
Would MARK D. JEWETT (M.D.) appear as active to a payer?
You can treat MARK D. JEWETT (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MARK D. JEWETT (M.D.)?
MARK D. JEWETT (M.D.) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MARK D. JEWETT (M.D.) associated with Randolph?
Public fields place MARK D. JEWETT (M.D.) around Randolph, Vermont. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MARK D. JEWETT (M.D.) is noted as August 21, 2006 where the registry provides it.

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