Mark O. McCollum, M.D.
NPI 1790880755ActiveIndividual· Surgery, Pediatric Surgery· New Brunswick, NJ
Surgery, Pediatric Surgery (M.D.) in New Brunswick, New Jersey, licensed in NJ and OH, with an NPI issued in September 2006. Enrolled in Medicare as practitioner - general surgery.
Overview
| NPI | 1790880755 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Sep 14, 2006 |
| Last updated in NPPES | Apr 15, 2024 |
| Certified by provider | Apr 15, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | 25MA10025200 | NJ |
| Surgery | 208600000X | 25MA10025200 | NJ |
| Surgery, Pediatric Surgery | 2086S0120X | 35.081904 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (NJ) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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