MARK C SANDERSON MD
NPI 1073604609
Surgery - Plastic and Reconstructive Surgery in American Fork, UT

NPI Status: Active since September 27, 2006

Contact Information

1184 E 80 N
AMERICAN FORK, UT
ZIP 84003
Phone: (801) 763-3885
Fax: (801) 763-3887

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  • Individual
  • Male
  • Surgery
  • Plastic and Reconstructive Surgery
  • PECOS Enrolled

About MARK SANDERSON

This page provides the complete NPI Profile along with additional information for Mark Sanderson, a provider established in American Fork, Utah with a medical specialization in Surgery, focusing in plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1073604609 assigned on September 2006. The practitioner's primary taxonomy code is 2086S0122X with license number 187115-1205 (UT). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1073604609
Provider Name
MARK C SANDERSON MD
Gender
Male
Entity Type
Individual
Location Address
1184 E 80 N AMERICAN FORK, UT 84003
Location Phone
(801) 763-3885
Location Fax
(801) 763-3887
Mailing Address
1055 N 500 W CREDENTIALING DEPARTMENT PROVO, UT 84604
Mailing Phone
(801) 354-8225
Mailing Fax
(801) 763-3887
Is Sole Proprietor?
No
Enumeration Date
09-27-2006
Last Update Date
11-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Plastic and Reconstructive Surgery

Taxonomy Code
2086S0122X
Type
Allopathic & Osteopathic Physicians
License No.
187115-1205
License State
UT
Taxonomy Description
A surgeon who specializes in plastic and reconstructive surgery.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XS0106XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Hand Surgery

187115-1205 (UT)
22082S0105XAllopathic & Osteopathic Physicians

Plastic Surgery
Surgery of the Hand

187115-1205 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
107005288103OTHER (01)UTIHC
13-00081OTHER (01)UTUNITED HEALTHCARE
215832OTHER (01)UTALTIUS
54270OTHER (01)UTDMBA
870281028SANOTHER (01)UTEMIA
79371OTHER (01)UTPEHP
870281028000MEDICAID (05)UT 
P00167990OTHER (01)UTPALMETTO

Medicare Participation & PECOS Enrollment Status

Mark Sanderson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 18 times for 15 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 25 times for 24 patients

Incision of tendon covering of finger

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

This service was performed 21 times for 17 patients

Mastectomy

A mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.

This service was performed for 1-10 patients

Melanoma (skin cancer) excision

Melanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.

This service was performed for 22 patients

New patient office or other outpatient visit, 30-44 minutes

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

This service was performed 27 times for 27 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 28 times for 28 patients

Release of wrist ligament using an endoscope

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

This service was performed 13 times for 13 patients

Upper limb (arm) arthroscopy (minimally invasive joint repair)

Upper limb arthroscopy is a minimally invasive procedure used to examine and treat issues within your arm's joints. A small camera, called an arthroscope, is inserted through a tiny incision, providing a clear view of the joint. This method often results in less pain and faster recovery compared to open surgery.

This service was performed for 36 patients

X-ray of finger, minimum of 2 views

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

This service was performed 33 times for 23 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073604609, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 4 → 8 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 0 + 8 + 6 + 0 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1073604609.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Physical Therapist
1184 E 80 N
AMERICAN FORK, UT 84003
Physical Therapist
1184 E 80 N
AMERICAN FORK, UT 84003
Physician Assistant
1184 E 80 N
AMERICAN FORK, UT 84003
Clinic/Center (Physical Therapy)
1184 E 80 N
AMERICAN FORK, UT 84003
Orthopaedic Surgery
1184 E 80 N
AMERICAN FORK, UT 84003
Orthopaedic Surgery
1184 E 80 N
AMERICAN FORK, UT 84003
Physician Assistant
1184 E 80 N
AMERICAN FORK, UT 84003
Orthopaedic Surgery
1184 E 80 N
AMERICAN FORK, UT 84003
Podiatrist (Foot Surgery)
1184 E 80 N
AMERICAN FORK, UT 84003
Physician Assistant (Surgical)
1184 E 80 N
AMERICAN FORK, UT 84003
Physician Assistant
1184 E 80 N
AMERICAN FORK, UT 84003
Physician Assistant
1184 E 80 N
AMERICAN FORK, UT 84003
Orthopaedic Surgery
1184 E 80 N
AMERICAN FORK, UT 84003
Physician Assistant (Surgical)
1184 E 80 N
AMERICAN FORK, UT 84003
Orthopaedic Surgery
1184 E 80 N
AMERICAN FORK, UT 84003
Physician Assistant
1184 E 80 N
AMERICAN FORK, UT 84003
Podiatrist (Foot & Ankle Surgery)
1184 E 80 N
AMERICAN FORK, UT 84003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073604609, enumerated as an "individual" on September 27, 2006.

The provider is located at 1184 E 80 N AMERICAN FORK, UT 84003 and the phone number is (801) 763-3885.

Surgery with taxonomy code 2086S0122X and a focus in Plastic and Reconstructive Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.