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DR. MARK T DESTACHE MD
NPI 1023129483
Anesthesiology in Saint Paul, MN

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
333 SMITH AVE N, SAINT PAUL, MN 55102(651) 735-0501(651) 735-1870 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark T Destache Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK T DESTACHE MD (NPI 1023129483) is an individual anesthesiology provider in Saint Paul, Minnesota, licensed in Minnesota (34185) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Delnor Community Hospital, and is a graduate of Indiana University School Of Medicine (1987).

NPPES Registry Identity

NPI1023129483
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. MARK T DESTACHECredential: MD
Location Address333 SMITH AVE NSaint Paul, MN 55102-2344
Mailing Address8681 Eagle Point BlvdLake Elmo, MN 55042-8628 · (651) 251-8021 · Fax (651) 251-8050
Phone(651) 735-0501
Fax(651) 735-1870
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1987
Enumeration DateAugust 31, 2006
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1023129483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Licenses✔ Licensed in MN · 34185✔ Licensed in IL · 036159952
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
333 SMITH AVE N, Saint Paul, MN 55102
Open in Google Maps ↗

Other Identifiers 1

Medicaid581807900MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark T Destache Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608069927
PECOS Enrollment IDI20101019001396, I20220427001948
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
42 services42 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
35 services35 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
30 services30 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
23 services23 patients
Anesthesia for other procedure on upper abdomen 00790
Anesthesia for an upper abdomen procedure involves using medications to help you feel no pain during the operation. It can be general, where you're unconscious, or regional, where just the abdomen area is numbed. It ensures comfort and stillness, aiding a successful procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Delnor Community Hospital

Acute Care Hospitals · Geneva, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140211
Location300 Randall RdGeneva, IL 60134 · Kane County
Emergency services Birthing friendly

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT A LAMPPA CRNA
Nurse Anesthetist, Certified Registered
333 SMITH AVE N
ST PAUL, MN 55102
Ramsey County (651) 735-0501
DALE H MCHUGH CRNA
Nurse Anesthetist, Certified Registered
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 735-0501
MS. ELIZABETH KOPF MA CCC-SLP
Speech-Language Pathologist
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8074
DR. KATHERINE GLASRUD MD
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (612) 863-6590
DR. BRIAN THOMAS GOOLEY MD
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8755
DR. HEATHER ROBBINS DPT
Physical Therapist (Geriatrics)
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8290
SAMANTHA SWANHORST
Physician Assistant
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8000
MS. MADELEINE DONOVAN CHAPMAN DNP
Nurse Practitioner (Acute Care)
333 SMITH AVE N
SAINT PAUL, MN 55102
Ramsey County (651) 241-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Destache's NPI number?

The NPI number for Mark Destache is 1023129483. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mark Destache located?

Mark Destache practices at 333 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (651) 735-0501.

What is Mark Destache's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Mark Destache enrolled in Medicare?

Yes. Mark Destache is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark Destache affiliated with any hospitals?

According to CMS data, Mark Destache is affiliated with Northwestern Medicine Delnor Community Hospital, Allina United Hospital, Abbott Northwestern Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Mark Destache was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.