MARK THOMAS MORELAND (PA-C) – Physician Assistant, NPI 1780220855
Physician Assistant
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Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,285 PHYSICIAN ASSISTANT in WA
Provider Addresses for MARK THOMAS MORELAND (PA-C)
3705 S Meridian Ste B
Puyallup, WA 983733709
Phone: (888) 663-6331
Fax: (415) 252-7176
Type: Location
389 COUNTY ROAD 3371
KEMPNER, TX 765393755
Phone: (719) 439-9798
Type: Mailing
36065 SANTA FE AVE
FORT HOOD, TX 765445060
Phone: (254) 288-8000
Type: Location
1805 SHEA CENTER DR STE 450
HIGHLANDS RANCH, CO 801292255
Phone: (303) 357-2559
Fax: (303) 221-2445
Type: Mailing
8200 E BELLEVIEW AVE STE 202C
GREENWOOD VILLAGE, CO 801112805
Phone: (303) 357-2551
Fax: (303) 221-2445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $74.
Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABIOMED ($74).
Total Amount
$74
General + Research + Ownership
Payments
4
Total payment records
General Amount
$74
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $74 |
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: 2025-07-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250701002113 | I | Physician Assistant | CO | TBD |
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.
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 98373)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | CO | |
| Nurse Practitioner | CO | |
| Internal Medicine | CO | |
| Internal Medicine | CO | |
| Physician Assistant | NM | |
| Nurse Practitioner | CO | |
| - | CO | |
| - | CO | |
| Nurse Practitioner | IA | |
| Family Practice | CO |
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