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MARK ANTHONY BOISSONNEAULT DPM
NPI 1508493248
Podiatrist in Reisterstown, MD

Active since March 24, 2020PECOS EnrolledAccepts Medicare Assignment
4 GLYNDON DR STE 2A, REISTERSTOWN, MD 21136(410) 833-2255 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Mar 24, 2020 (2 updates tracked since 2020).

About Mark Anthony Boissonneault Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ANTHONY BOISSONNEAULT DPM (NPI 1508493248) is an individual podiatrist in Reisterstown, Maryland, licensed in Maryland (01789) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (2020).

NPPES Registry Identity

NPI1508493248
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameMARK ANTHONY BOISSONNEAULTCredential: DPM
Location Address4 GLYNDON DR STE 2AReisterstown, MD 21136-2002
Mailing Address4 Glyndon Dr Ste 2aReisterstown, MD 21136-2002 · (410) 833-2255
Phone(410) 833-2255
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2020
Enumeration DateMarch 24, 2020
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1508493248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MD · 01789
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4 GLYNDON DR STE 2A, Reisterstown, MD 21136
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Anthony Boissonneault Dpm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527481712
PECOS Enrollment IDI20240923003299
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
130 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services78 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
79 services63 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
25 services17 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21136 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANG H. VU D.P.M.
Podiatrist
4 GLYNDON DR STE 2A
REISTERSTOWN, MD 21136
Baltimore County (410) 833-2255
FAMILY PODIATRY OF MARYLAND, LLC
Podiatrist
4 GLYNDON DR STE 2A
REISTERSTOWN, MD 21136
Baltimore County (410) 833-2255

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Boissonneault's NPI number?

The NPI number for Mark Boissonneault is 1508493248. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Where is Mark Boissonneault located?

Mark Boissonneault practices at 4 Glyndon Dr Ste 2A, Reisterstown, MD 21136. The listed phone number is (410) 833-2255.

What is Mark Boissonneault's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Mark Boissonneault enrolled in Medicare?

Yes. Mark Boissonneault is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mark Boissonneault was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.