Mark O Dammert, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

N9533 Issued in TX

Practice address

1180 Seton Pkwy
Suite 420
Kyle, TX 78640-6178

Phone

(512) 268-5282

Fax

(512) 268-5769

NPI assigned

May 24, 2007

Last updated

Jan 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Plastic and Reconstructive Surgery

Education

University of Texas Medical School at San Antonio, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Butler and Burns Ear Nose and Throat AssociatesGroup PAC ID 5496668238, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Hays Hospital, Kyle, TX, CCN 670056
• St David's South Austin Medical Center Hospital, Austin, TX, CCN 450713
• Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Butler & Burns Ear Nose & Throat Associates

  dba Austin Ear, Nose & Throat Clinic

  • Otolaryngology Physician
  • Austin, TX
  • NPI 1174505473
  Medicare reassignment Care Compare group NPD
• ENT Associates of Central Texas

  • Otolaryngology Physician
  • Kyle, TX
  • NPI 1598050841
  Authorized official Same address or phone
• Butler & Burns Ear Nose & Throat

  dba Austin Ear Nose & Throat Clinic

  • Otolaryngology Physician
  • Bastrop, TX
  • NPI 1609065242
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  dba Ascension Seton Hays

  • General Acute Care Hospital
  • Kyle, TX
  • NPI 1619115383
  Care Compare affiliation
• Bir JV LLP

  dba Baylor Scott & White Institute for Rehabilitation - Lakeway

  • Rehabilitation Hospital
  • Lakeway, TX
  • NPI 1851889463

  Inpatient rehabilitation facility

  Care Compare affiliation
• St. David's Healthcare Partnership, L.P., LLP

  dba St. David's South Austin Medical Center

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1679528889
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1417168345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 420",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406178",
            "telephone_number": "512-268-5282",
            "fax_number": "512-268-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SETON PKWY",
            "address_2": "SUITE 420",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406178",
            "telephone_number": "512-268-5282",
            "fax_number": "512-268-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMMERT",
        "first_name": "MARK",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "N9533",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "N9533",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DY645",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288309203",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288309202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CVS Pharmacy Inc. (CVS Pharmacy #)
• CVS Pharmacy, Inc. (CVS Pharmacy #03505)
• Ana Paula D'Acosta Sanchez
• Carolina A M Da Mata, DC
• Zoe Joyce Dalle
• Zahra Darbandi, FNP
• Darryl Camp MD, PA
• Amy Denise Daugherty
• Meredith D Davenport, MD
• Casey Lynn David, PT, DPT

• Otolaryngology Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.

Verify at the official NPI Registry.