MARK E. ROESER (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1114127123

MARK E. ROESER (M.D.) is a healthcare provider. based in Charlottesville, Virginia. specializing in THORACIC SURGERY, CARDIAC SURGERY. They hold the professional credentials M.D.. They hold a License No. N9771 (TX). The NPI Number for MARK E. ROESER (M.D.) is 1114127123

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
MARK E. ROESER (M.D.)
NPI
1114127123
Phone
Not provided
Address
PO BOX 9007
Enumeration Date
19 July 2007
Last Update Date
16 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7043731813
Graduation Year
2007 (19 years ago)
PAC ID
4082880372
Group Practice PAC ID
3375449655
Professional Enrollment ID
I20250317002611
Address ID
NC282035863CH1001XBLVD306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

128 THORACIC SURGERY in VA

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Provider Addresses for MARK E. ROESER (M.D.)

  • PO BOX 9007

    CHARLOTTESVILLE, VA 229069007

    Phone:

    Type: Mailing

  • Lee Street, Jefferson Park Avenue, Starr Hill, Charlottesville, Virginia, 22903, United States

    CHARLOTTESVILLE, VA 229080001

    Phone: (434) 243-6828

    Fax: (434) 244-7588

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Abbott Laboratories ($138).

Total Amount

$165

General + Research + Ownership

Payments

2

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 days ago).

Enrollment records

2

Earliest due date

2023-11-30

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
I20151111000838IThoracic SurgeryVA2023-11-30
I20250317002611IThoracic SurgeryNCTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 22906)

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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: 3375449655View full group profile
NameSpecialtyState
-NC
Hospitalist, Internal MedicineNC
Nurse PractitionerNC
-NC
Nurse PractitionerNC
Physician AssistantNC
Physician AssistantCA
Physician AssistantNC
Physician AssistantWV
Family PracticeNC

Reviews

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Frequently asked questions

What unique ID ties claims to MARK E. ROESER (M.D.)?
NPI 1114127123 is assigned to MARK E. ROESER (M.D.) under the national enumeration system.
Is MARK E. ROESER (M.D.) active in the national directory?
MARK E. ROESER (M.D.)'s public NPI profile is in an active state.
Does MARK E. ROESER (M.D.) list a primary specialty?
If you are matching referrals, note Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for MARK E. ROESER (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK E. ROESER (M.D.)?
The page summarizes Charlottesville, Virginia for MARK E. ROESER (M.D.); expand the address list for detail.
What if Charlottesville, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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