DR. MARK O MCCOLLUM M.D.
NPI 1790880755
Surgery - Pediatric Surgery in New Brunswick, NJ
About Dr. Mark O Mccollum M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK O MCCOLLUM M.D. (NPI 1790880755) is an individual pediatric surgery provider in New Brunswick, New Jersey, licensed in New Jersey (25MA10025200) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Akron.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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 O Mccollum M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Mccollum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
NEW BRUNSWICK, NJ 08901
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 Mccollum's NPI number?
The NPI number for Mark Mccollum is 1790880755. It was assigned to this individual provider in the NPPES registry on September 14, 2006.
Where is Mark Mccollum located?
Mark Mccollum practices at 1 Robert Wood Johnson Pl W Wing Fl 3 Ste W3234, New Brunswick, NJ 08901. The listed phone number is (732) 828-3000.
What is Mark Mccollum's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Mark Mccollum enrolled in Medicare?
Yes. Mark Mccollum is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Mccollum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mccollum reassigns Medicare benefits to Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Mccollum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Mccollum accept?
Health plans from Ambetter Health and Oscar Health list Mark Mccollum as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Mccollum was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Mark O Mccollum, M.D. · NPI 1790880755
Pediatric Surgery physician in New Brunswick, New Jersey. Individual provider, active in the CMS NPPES registry since September 14, 2006.
## Identity
- **NPI:** 1790880755 (Entity type: Individual)
- **Enumerated:** September 14, 2006
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** 25MA10025200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 ROBERT WOOD JOHNSON PL, W WING FL 3 STE W3234, New Brunswick, NJ 08901
- **Phone:** (732) 828-3000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790880755) · Data from the CMS NPPES public registry.