DR. MARK GLEN BAKALARS (M.D.) – Vascular & Interventional Radiology Physician, NPI 1174518724

DR. MARK GLEN BAKALARS (M.D.) is a healthcare provider. based in Waukesha, Wisconsin. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 40309-020 (WI). The NPI Number for DR. MARK GLEN BAKALARS (M.D.) is 1174518724

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK GLEN BAKALARS (M.D.)
NPI
1174518724
Phone
(262) 928-2400
Address
725 AMERICAN AVE
Enumeration Date
20 September 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2626960808
Graduation Year
1997 (29 years ago)
PAC ID
4981678406
Group Practice PAC ID
3476465188
Professional Enrollment ID
I20041013000953
Address ID
WI531881106WAN16W2DRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,102 DIAGNOSTIC RADIOLOGY in WI

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Provider Addresses for DR. MARK GLEN BAKALARS (M.D.)

  • Waukesha Memorial Hospital, 725, American Avenue, Waukesha, Waukesha County, Wisconsin, 53188, United States

    WAUKESHA, WI 531885031

    Phone: (262) 928-2400

    Fax: (262) 928-7621

    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)

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: 2004-10-13

PECOS data refreshed: 2026-06-15

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
I20041013000953IDiagnostic RadiologyWITBD

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
71045X-ray of chest, 1 view238223$0
71046X-ray of chest, 2 views115109$0
70450Ct scan head or brain without contrast7978$0
71250Ct scan of chest without contrast6564$0
74177Ct scan of abdomen and pelvis with contrast5857$0
View full utilization report →

Insurance plans in this area (ZIP 53188)

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Provider's Procedures

DR. MARK GLEN BAKALARS (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWI71250CT scan chest4745
DIAGNOSTIC RADIOLOGYWI74177CT scan of abdomen and pelvis with contrast118113
DIAGNOSTIC RADIOLOGYWI76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2222
DIAGNOSTIC RADIOLOGYWI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers4949

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: 3476465188View full group profile
NameSpecialtyState
-WI
-WI
Radiation OncologyWI
Clinical PsychologistWI
Cardiovascular Disease (Cardiology), Internal MedicineNY
Nurse PractitionerWI
-WI
Physician AssistantWI
Nurse PractitionerWI
Physician AssistantWI

Reviews

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Frequently asked questions

Where can patients find DR. MARK GLEN BAKALARS (M.D.)'s NPI?
You can confirm DR. MARK GLEN BAKALARS (M.D.) with NPI 1174518724; it appears in the national provider directory.
Is DR. MARK GLEN BAKALARS (M.D.) currently active in the NPI registry?
CMS-published data lists DR. MARK GLEN BAKALARS (M.D.) as an active registrant.
Does DR. MARK GLEN BAKALARS (M.D.) list a primary specialty?
If you are matching referrals, note Vascular & Interventional Radiology Physician for DR. MARK GLEN BAKALARS (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. MARK GLEN BAKALARS (M.D.)?
We surface Waukesha, Wisconsin for DR. MARK GLEN BAKALARS (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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