MARK R DEHAAN MD
NPI 1093707093
Surgery - Surgery of the Hand in Grand Rapids, MI

Q: What is Mark Dehaan's NPI number?

The NPI number for Mark Dehaan is 1093707093. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Q: What is Mark Dehaan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Q: When was this NPI record last updated?

The NPPES record for Mark Dehaan was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 17, 2005PECOS Enrolled

1111 LEFFINGWELL AVE NE, SUITE 200, GRAND RAPIDS, MI 49525(616) 459-7101(616) 464-6170 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark R Dehaan Md NPPES

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

MARK R DEHAAN MD (NPI 1093707093) is an individual surgery of the hand provider in Grand Rapids, Michigan, licensed in Michigan (4301044330) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093707093

Entity TypeIndividualMale

Primary Taxonomy2086S0105X

Provider Legal NameMARK R DEHAANCredential: MD

Location Address1111 LEFFINGWELL AVE NE, SUITE 200Grand Rapids, MI 49525-6406

Mailing Address1111 Leffingwell Ave Ne, Suite 200Grand Rapids, MI 49525-6406 · (616) 459-7101 · Fax (616) 464-6170

Phone(616) 459-7101

Fax(616) 464-6170

Sole ProprietorNo

Enumeration DateAugust 17, 2005

Last NPPES UpdateJuly 1, 2016

✔ NPI 1093707093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySurgery · Surgery of the HandAllopathic & Osteopathic Physicians

Taxonomy Code2086S0105X

License✔ Licensed in MI · 4301044330

Definition

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedPlastic SurgeryTaxonomy 208200000X · License 4301044330 (MI)

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 4301044330 (MI)

Also ListedSurgeryTaxonomy 208600000X · License 4301044330 (MI)

1111 LEFFINGWELL AVE NE, Grand Rapids, MI 49525

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Other Identifiers 3

Medicare UPINB46079

Medicaid4096420MI

Medicare PIN0D14869053MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark R Dehaan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JUSTIN MICHAEL MILLER PA

Physician Assistant (Surgical)

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

DR. CHARLES D BUKREY MD

Orthopaedic Surgery

1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

LAURA L BUCKS OT

Occupational Therapist

1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

KURT THOMAS GEFFKEN MD

Orthopaedic Surgery

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC

Orthopaedic Surgery

1111 LEFFINGWELL AVE NE
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

SCOTT DAVID BURGESS MD

Orthopaedic Surgery (Hand Surgery)

1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

KELLY J NYE OT

Occupational Therapist

1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

JOSEPH N PIGORSH PAC

Physician Assistant (Surgical)

1111 LEFFINGWELL AVE NE, STE 100
GRAND RAPIDS, MI 49525

Kent County (616) 459-7101

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 Dehaan's NPI number?

The NPI number for Mark Dehaan is 1093707093. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Mark Dehaan located?

Mark Dehaan practices at 1111 Leffingwell Ave NE Suite 200, Grand Rapids, MI 49525. The listed phone number is (616) 459-7101.

What is Mark Dehaan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgery of the Hand, with taxonomy code 2086S0105X.

Is Mark Dehaan enrolled in Medicare?

Yes. Mark Dehaan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Dehaan was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.