Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark David Deponte, MD

Individual provider Family Medicine Physician · NPI 1265434583

Mark David Deponte, MD is a General Practice in Lisbon, Connecticut. Qualified in 1999, 27 years ago. Practices with Mark D. Deponte, MD, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
27
Licensed in
CT
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Lee Rd
Lisbon, CT 06351
Phone: (860) 376-4451
Fax: (860) 376-5977
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 039945 (CT)

Record details

NPI number1265434583
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 1, 2005
Last updated in NPPESNovember 19, 2009
Mailing address2 Lee Rd, Lisbon, CT 06351

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Mark D. Deponte, M.D.,Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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