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

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: July 19, 2026.

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
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

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.

Surgery (Surgery of the Hand)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Surgery (Surgery of the Hand)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Surgery (Surgery of the Hand)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Physical Therapist
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Orthopaedic Surgery
1111 LEFFINGWELL AVE NE, SUITE 100
GRAND RAPIDS, MI 49525
Occupational Therapist (Hand)
1111 LEFFINGWELL AVE NE, SUITE 200
GRAND RAPIDS, MI 49525
Occupational Therapist (Hand)
1111 LEFFINGWELL AVE NE, SUITE 210
GRAND RAPIDS, MI 49525
Physical Therapist
1111 LEFFINGWELL AVE NE, SUITE 300
GRAND RAPIDS, MI 49525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093707093, enumerated as an "individual" on August 17, 2005.

The provider is located at 1111 LEFFINGWELL AVE NE SUITE 200 GRAND RAPIDS, MI 49525 and the phone number is (616) 459-7101.

Surgery with taxonomy code 2086S0105X and a focus in Surgery of the Hand.

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