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MARK PAUL VANTIGHEM M.D.
NPI 1093959280
Emergency Medicine in Portland, OR

Active since May 01, 2009PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
OHSU 3181 SW SAM JACKSON PARK ROAD, PORTLAND, OR 97239(503) 494-8211 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 5, 2024, Jun 19, 2017 (2 updates tracked since 2017).

About Mark Paul Vantighem M.d. NPPES

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

MARK PAUL VANTIGHEM M.D. (NPI 1093959280) is an individual emergency medicine provider in Portland, Oregon, licensed in Montana (19339) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Benefis Hospitals Inc, and is a graduate of University Of Washington School Of Medicine (2009).

NPPES Registry Identity

NPI1093959280
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK PAUL VANTIGHEMCredential: M.D.
Location AddressOHSU 3181 SW SAM JACKSON PARK ROADPortland, OR 97239
Mailing Address9403 N Wall StSpokane, WA 99218 · (206) 669-3482
Phone(503) 494-8211
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2009
Enumeration DateMay 1, 2009
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
✔ NPI 1093959280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MT · 19339
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
OHSU 3181 SW SAM JACKSON PARK ROAD, Portland, OR 97239
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Paul Vantighem M.d. 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 ID6406007392
PECOS Enrollment IDI20121128000042
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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Vantighem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Benefis Hospitals Inc
561 mi
Multi-Specialty
1401 25TH ST S
Great Falls, MT 59405
  • Reassigned Medicare billing, Montana enrollment
  • 637 clinicians in this Medicare group
NPI 1780968974 (406) 455-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
210 services187 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
147 services136 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
121 services117 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Benefis Hospitals Inc

Acute Care Hospitals · Great Falls, MT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270012
Location1101 26th St SGreat Falls, MT 59405 · Cascade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97239 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.1
Promoting Interoperability75
Improvement Activities40
Cost62.61

Other Providers at the Same Location NPPES 3

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

DR. ROBIN KATHERINE VEST
Family Medicine
OHSU 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-8211
ADELINE FECKER
Student in an Organized Health Care Education/Training Program
OHSU 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-8211
COURTNEY WILSON
Student in an Organized Health Care Education/Training Program
OHSU 3181 SW SAM JACKSON PARK ROAD
PORTLAND, OR 97239
Multnomah County (503) 494-8211

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 Vantighem's NPI number?

The NPI number for Mark Vantighem is 1093959280. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Mark Vantighem located?

Mark Vantighem practices at Ohsu 3181 SW Sam Jackson Park Road, Portland, OR 97239. The listed phone number is (503) 494-8211.

What is Mark Vantighem's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Vantighem enrolled in Medicare?

Yes. Mark Vantighem 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.

Which organization bills Medicare for Mark Vantighem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Vantighem reassigns Medicare benefits to Benefis Hospitals Inc (Great Falls, MT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Vantighem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Vantighem accept?

Health plans from Blue Cross and Blue Shield of Montana list Mark Vantighem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Vantighem affiliated with any hospitals?

According to CMS data, Mark Vantighem is affiliated with Benefis Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Mark Vantighem was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.