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DR. MARK DAVID ANTENUCCI D.P.M
NPI 1760490759
Podiatrist in Roswell, NM

Active since August 04, 2006PECOS Enrolled
0/100
CMS Quality Rating
313 WEST COUNTRY CLUB RD., STE. 7, ROSWELL, NM 88201(575) 624-2398(575) 624-0655 Get Directions Write a Review

NPPES record last updated: June 24, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark David Antenucci D.p.m NPPES

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

DR. MARK DAVID ANTENUCCI D.P.M (NPI 1760490759) is an individual podiatrist in Roswell, New Mexico, licensed in New Mexico (184) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1760490759
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. MARK DAVID ANTENUCCICredential: D.P.M
Location Address313 WEST COUNTRY CLUB RD., STE. 7Roswell, NM 88201
Mailing Address313 West Country Club Rd., Ste. 7Roswell, NM 88201 · (575) 624-2398 · Fax (575) 624-0655
Phone(575) 624-2398
Fax(575) 624-0655
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateAugust 4, 2006
Last NPPES UpdateJune 24, 2009
✔ NPI 1760490759 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 NM · 184
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.
313 WEST COUNTRY CLUB RD., Roswell, NM 88201
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Other Identifiers 4

Medicare UPIN2350792NM
Medicare PINT41065NM
Medicare UPINT41065
Medicaid55657NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Antenucci D.p.m is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446254346
PECOS Enrollment IDI20061010000738
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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Antenucci reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark D Antenucci DPM PC
Same address
Podiatrist
313 W COUNTRY CLUB RD, SUITE 7
Roswell, NM 88201
  • Reassigned Medicare billing, New Mexico enrollment
NPI 1548624372 (575) 624-2398

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
573 services263 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.
207 services107 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.
199 services120 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
162 services80 patients
Removal of skin of fingernail or toenail 11765
This procedure, called a nail avulsion, involves the removal of a fingernail or toenail's skin, usually due to an infection, injury, or abnormal growth. It's performed under local anesthesia to minimize discomfort, and promotes healthy nail regrowth and healing.
112 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
86 services86 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88201 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Antenucci's NPI number?

The NPI number for Mark Antenucci is 1760490759. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Mark Antenucci located?

Mark Antenucci practices at 313 West Country Club Rd. Ste. 7, Roswell, NM 88201. The listed phone number is (575) 624-2398.

What is Mark Antenucci's specialty?

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

Is Mark Antenucci enrolled in Medicare?

Yes. Mark Antenucci is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Antenucci's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Antenucci reassigns Medicare benefits to Mark D Antenucci DPM PC (Roswell, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Antenucci's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Antenucci was last updated on June 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.