MARK E BOSELEY (M.D.) – Otolaryngology Physician, NPI 1750351797

MARK E BOSELEY (M.D.) is a healthcare provider. based in Tacoma, Washington. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. MD00047231 (WA). The NPI Number for MARK E BOSELEY (M.D.) is 1750351797

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARK E BOSELEY (M.D.)
NPI
1750351797
Phone
(253) 403-1507
Address
311 S L ST
Enumeration Date
24 January 2006
Last Update Date
18 July 2024

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9146313053
Graduation Year
1995 (31 years ago)
PAC ID
5496846875
Group Practice PAC ID
0749193662
Professional Enrollment ID
I20240819000892
Address ID
NY105915804TA200XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

321 OTOLARYNGOLOGY in WA

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

  • 311, South L Street, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 984053720

    Phone: (253) 403-1507

    Type: Mailing

  • 200 WHITE PLAINS RD STE 201

    TARRYTOWN, NY 105915838

    Phone: (914) 631-3053

    Fax: (914) 631-2807

    Type: Location

  • 660 WHITE PLAINS RD STE 400

    TARRYTOWN, NY 105915107

    Phone: (914) 984-2546

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $4,250.

Total Amount is formed as General ($4,250) + Research ($0) + Ownership ($0) = $4,250.

Last reported payment date: 2024-09-23 • Largest payer in this snapshot: KARL STORZ Endoscopy-America ($2,120).

Total Amount

$4,250

General + Research + Ownership

Payments

12

Total payment records

General Amount

$4,250

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-23

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: 2024-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20070814000797IPediatric MedicineWATBD
I20240819000892IOtolaryngologyNYTBD

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 98405)

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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: 0749193662View full group profile
NameSpecialtyState
A L L E R G Y/ I M M U N O L O G YNY
Otolaryngology, Plastic And Reconstructive SurgeryNY
A L L E R G Y/ I M M U N O L O G YNY
Qualified AudiologistNJ
Qualified AudiologistNY
-NY
O T O L A R Y N G O L O G YNY
-NJ
O T O L A R Y N G O L O G YPA
O T O L A R Y N G O L O G YNY

Reviews

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Frequently asked questions

What number should I use to identify MARK E BOSELEY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1750351797 for MARK E BOSELEY (M.D.).
Quick check: is MARK E BOSELEY (M.D.) active?
Public NPPES data shows MARK E BOSELEY (M.D.) with an active NPI status right now.
What does the directory say MARK E BOSELEY (M.D.) does?
Insurance directories may phrase it differently, but here MARK E BOSELEY (M.D.) maps to Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MARK E BOSELEY (M.D.) in Tacoma, Washington?
For routing, start with Tacoma, Washington for MARK E BOSELEY (M.D.), then verify phone and hours locally.
Who maintains MARK E BOSELEY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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