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DR. MARK EDWARD POPLAWSKI DPM
NPI 1629147624
Podiatrist in Toms River, NJ

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
555 LAKEHURST RD, TOMS RIVER, NJ 08755(732) 557-6336(732) 557-4103 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Edward Poplawski Dpm NPPES

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

DR. MARK EDWARD POPLAWSKI DPM (NPI 1629147624) is an individual podiatrist in Toms River, New Jersey, licensed in New Jersey (25MD00244300) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1996).

NPPES Registry Identity

NPI1629147624
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MARK EDWARD POPLAWSKICredential: DPM
Location Address555 LAKEHURST RDToms River, NJ 08755-8044
Mailing Address555 Lakehurst RdToms River, NJ 08755-8044 · (732) 557-6336 · Fax (732) 557-4103
Phone(732) 557-6336
Fax(732) 557-4103
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1996
Enumeration DateNovember 6, 2006
Last NPPES UpdateFebruary 27, 2020
✔ NPI 1629147624 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 NJ · 25MD00244300
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.
555 LAKEHURST RD, Toms River, NJ 08755
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Other Identifiers 3

OtherBP5759610NJ · Controlled Dangerous Subs
OtherBP9112436NJ · Controlled Substance Regi
Medicaid0077658NJ

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

Dr. Mark Edward Poplawski 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 ID5991790750
PECOS Enrollment IDI20040420000267
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 10

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 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.
577 services224 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
555 services206 patients
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.
281 services133 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
207 services100 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.
183 services110 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.
137 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier21 claims42 services$61.35 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier21 claims126 services$25.02 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier34 claims34 services$67.88 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MOHAB W TANIOUS DDS
Dentist (General Practice)
555 LAKEHURST RD
TOMS RIVER, NJ 08755
Ocean County (732) 341-6800
KIMBERLY ANN DALEY DPM
Podiatrist
555 LAKEHURST RD
TOMS RIVER, NJ 08755
Ocean County (732) 341-3355
DR. ROBERT G WILLIAMS DMD
Dentist (Endodontics)
555 LAKEHURST RD
TOMS RIVER, NJ 08755
Ocean County (732) 341-6800

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 Poplawski's NPI number?

The NPI number for Mark Poplawski is 1629147624. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Mark Poplawski located?

Mark Poplawski practices at 555 Lakehurst Rd, Toms River, NJ 08755. The listed phone number is (732) 557-6336.

What is Mark Poplawski's specialty?

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

Is Mark Poplawski enrolled in Medicare?

Yes. Mark Poplawski 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 Poplawski was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.