NPIMap

Individual provider Active NPI

Mark Stephen Robertson, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Albany, OR
National Provider Identifier
1487679700
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
DO23994 Issued in OR
Practice address
950 29TH Ave SW
Albany, OR 97321-3415
Phone
(541) 967-0404
Fax
(541) 967-6548
NPI assigned
Jul 13, 2006
Last updated
Oct 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X DO23994 OR Primary

Addresses

Primary practice location

950 29TH Ave SW
Albany, OR 97321-3415

Mailing address

950 29TH Ave SW
Albany, OR 97321-3415
Phone (541) 967-0404

Other identifiers 1

IdentifierTypeStateIssuer
286847MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000442 OR Practitioner - Otolaryngology 0749377158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Midwestern University, Chicago College of Osteopathic Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark S. Robertson, P.C.Group PAC ID 7012915333, 3 clinicians

Practice addresses (Care Compare)

950 29TH Ave SW
Albany, OR 97321-3415
Phone (541) 967-0404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.65 of 100Reported as group
Quality
86.8
Promoting interoperability
100
Improvement activities
40
Cost
86.36

Merit-based Incentive Payment System (MIPS)

Final score
92.39 of 100Reported as group
Quality
83.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3597OKMDGeneral Practice Dentistry
DO23994ORMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark S. Robertson, P.C. Otolaryngology/Facial Plastic Surgery CurrentSince Jan 1, 2008 Accepting new patients

Locations

950 29th Ave SW
Albany, OR 97321
Phone (541) 967-0404

1867 NW Kings Blvd
Corvallis, OR 97330
Phone (541) 757-4999

1010 SW Coast Hwy
Ste 101
Newport, OR 97365
Phone (541) 265-9266

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 74

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

View all 74

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1487679700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213415",
            "telephone_number": "541-967-0404",
            "fax_number": "541-967-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 29TH AVE SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973213415",
            "telephone_number": "541-967-0404",
            "fax_number": "541-967-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "OR",
            "license": "DO23994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286847",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

Verify at the official NPI Registry.