Active NPI
Mark E Eaton, M.D.
- Dermatology Physician
- Annapolis, MD
National Provider Identifier
1629070495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D0075780
- Practice address
- 71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5410 - Phone
- (410) 268-3887
- Fax
- (410) 268-8171
- NPI assigned
- Aug 11, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0101232096 | VA | |
| Dermatology Physician | 207N00000X | D0075780 | MD | Primary |
Addresses
Primary practice location
71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5410
Mailing address
71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5410
Phone (410) 268-3887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Mercer University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
71 Old Mill Bottom Rd N
Suite 300
Annapolis, MD 21409-5473
Phone (301) 681-7000
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 101 |
| Removal of skin lesions | 2596 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 399 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0075780 | MD | MD | Dermatology Physician |
| 0101232096 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Derm Associates LLC | Dermatology | Current | Accepting new patients |
Locations
71 Old Mill Bottom Rd N
Ste 300
Annapolis, MD 21409
Phone (301) 681-7000
Interoperability endpoints
- meaton@usdp7.emadirect.md
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.
-
- Dermatology Physician
- Silver Spring, MD
- NPI 1649271354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1629070495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 OLD MILL BOTTOM RD N",
"address_2": "SUITE 300",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214095410",
"telephone_number": "410-268-3887",
"fax_number": "410-268-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 OLD MILL BOTTOM RD N",
"address_2": "SUITE 300",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214095410",
"telephone_number": "410-268-3887",
"fax_number": "410-268-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "MARK",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0101232096",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D0075780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.