Active NPI
Mark A. Dreyer, DPM, FACAFAS
- Foot & Ankle Surgery Podiatrist
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO4081
- Practice address
- 11505 Rangeland Pkwy
Bradenton, FL 34211-4041 - Phone
- (941) 362-8662
- Fax
- (941) 362-8602
- NPI assigned
- Aug 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 00347 | RI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00347 | RI | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO4081 | FL | Primary |
Addresses
Primary practice location
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Mailing address
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 362-8662
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103607100 | Medicaid | FL | |
| 253654405 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Mark.Dreyer@img.directbygreenway.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sports and Orthopedic Rehabilitation Services Inc
Practice addresses (Care Compare)
11505 Rangeland Pkwy
Bradenton, FL 34211-4041
Phone (941) 907-6016
8429 Tuttle Ave
Sarasota, FL 34243-2868
Phone (941) 413-1550
Hospital & facility affiliations
- Pinnacle Home Care
- Trilogy Home Healthcare
- Etairos Health Inc
- Lakewood Ranch Medical Center
- Sarasota Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 261 |
| Removal of skin lesions | 114 |
| Removal of nail tissue | 784 |
| Removal or shaving of skin growth | 548 |
| Skin biopsy | 39 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00347 | RI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intercoastal Medical Group Inc | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
11505 Rangeland Pkwy
Bradenton, FL 34211
Phone (941) 907-6016
11505 Rangeland Pkwy
Fl 1
Bradenton, FL 34211
943 S Beneva Rd
Ste 306
Sarasota, FL 34232
Phone (941) 362-8644
921 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-7390
Interoperability endpoints
- mark.dreyer@img.directbygreenway.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sarasota, FL
- NPI 1578537767
Foot & Ankle Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tampa, FL
- NPI 1740509876
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1730179714
-
- Home Health Agency
- Tampa, FL
- NPI 1437663465
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1952735219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11505 RANGELAND PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342114041",
"telephone_number": "941-362-8662",
"fax_number": "941-362-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11505 RANGELAND PKWY",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342114041",
"telephone_number": "941-362-8662",
"fax_number": "941-362-8602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREYER",
"first_name": "MARK",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DPM, FACAFAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-22",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "RI",
"license": "00347",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "RI",
"license": "00347",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO4081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103607100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253654405",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Mark.Dreyer@img.directbygreenway.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11505 Rangeland Pkwy",
"city": "Bradenton",
"state": "FL",
"country_code": "US",
"postal_code": "342114041",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.