MARK ANDREW KACHAN (DPM) – Podiatrist, NPI 1003080102

MARK ANDREW KACHAN (DPM) is a healthcare provider. based in Green bay, Wisconsin. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. MK002134 (MI). The NPI Number for MARK ANDREW KACHAN (DPM) is 1003080102

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MARK ANDREW KACHAN (DPM)
NPI
1003080102
Phone
(920) 496-4700
Address
2793 LINEVILLE RD
Enumeration Date
18 April 2008
Last Update Date
7 June 2013

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
9204964700
Graduation Year
2002 (24 years ago)
PAC ID
3072688134
Group Practice PAC ID
8325931652
Professional Enrollment ID
I20130712000059
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

296 PODIATRY in WI

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Provider Addresses for MARK ANDREW KACHAN (DPM)

  • 2793, Lineville Road, Suamico, Brown County, Wisconsin, 54313, United States

    GREEN BAY, WI 543137152

    Phone: (920) 496-4700

    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)

CMS reports 18 Open Payments records for all available years, with a total value of $675.

Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.

Last reported payment date: 2024-11-02 • Largest payer in this snapshot: Integra LifeSciences Corporation ($354).

Total Amount

$675

General + Research + Ownership

Payments

18

Total payment records

General Amount

$675

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-02

Latest reported date

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: 2013-07-12

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
I20130712000059IPodiatryWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes29783$0
99214Established patient office or other outpatient visit, 30-39 minutes7056$0
99204New patient office or other outpatient visit, 45-59 minutes3131$0
99203New patient office or other outpatient visit, 30-44 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 54313)

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Provider's Procedures

MARK ANDREW KACHAN (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYWI73630X-ray of foot, minimum of 3 views1411

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: 8325931652View full group profile
NameSpecialtyState
Nurse PractitionerWI
Interventional Radiology, Diagnostic RadiologyWI
-WI
Internal MedicineWI
Family PracticeWI
Diagnostic Radiology, Interventional RadiologyWI
-WI
-WI
-WI
Qualified AudiologistWI

Reviews

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Frequently asked questions

Can I use this page to confirm MARK ANDREW KACHAN (DPM)'s NPI?
Yes. MARK ANDREW KACHAN (DPM) is listed with NPI 1003080102 in the public NPI dataset.
Can I rely on MARK ANDREW KACHAN (DPM) being an active provider?
As of the registry snapshot, MARK ANDREW KACHAN (DPM) is marked active.
What is MARK ANDREW KACHAN (DPM)'s primary classification?
Podiatrist is the headline specialty for MARK ANDREW KACHAN (DPM) here. Clinical services aligned with this taxonomy classification.
What address line appears for MARK ANDREW KACHAN (DPM)?
MARK ANDREW KACHAN (DPM)'s geographic hint is Green Bay, Wisconsin in our summary view.
Is the information about MARK ANDREW KACHAN (DPM) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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