Mark Nissenbaum, DMD MDC FCDSA OMFS
NPI 1902897184 · Oral & Maxillofacial Surgery (D.M.D.) · Chestnut Hill, MA
Enrolled with Medicare as Practitioner - Maxillofacial Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Nissenbaum, DMD MDC FCDSA OMFS is a Oral & Maxillofacial Surgery (D.M.D.) provider in Chestnut Hill, MA (NPI 1902897184).
Provider details
- NPI number
- 1902897184
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD MDC FCDSA OMFS
- Sex
- Male
- Sole proprietor
- No
- License
- 8460 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
15 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 15 | $80 |
Typical Medicare-allowed amounts for these services range $80–$80 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 3 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Chlorhexidine Gluconate | 77 | 61 |
| Amoxicillin | 59 | 42 |
| Azithromycin | 14 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-11-04
- Last updated
- 2014-02-27
Frequently asked questions
- What is Mark Nissenbaum's NPI number?
- Mark Nissenbaum's National Provider Identifier (NPI) is 1902897184, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Nissenbaum's specialty?
- Mark Nissenbaum is listed in the NPPES registry with a primary specialty of Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Mark Nissenbaum located?
- Mark Nissenbaum's practice location on file with NPPES is 200 Boylston St, Chestnut Hill, MA 02467-2012.
- What is Mark Nissenbaum's phone number?
- The practice phone number listed in the NPPES registry for Mark Nissenbaum is (617) 731-8888.
- Does Mark Nissenbaum accept Medicare?
- Mark Nissenbaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Nissenbaum's NPI active?
- Yes — Mark Nissenbaum's NPI (1902897184) is active in the NPPES registry as of the last update on 2014-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.