MARK R BLADERGROEN M.D.
NPI 1124058342
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Richmond, VA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
5875 BREMO RD, SUITE G-5, RICHMOND, VA 23226(804) 287-7840(804) 287-7845 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark R Bladergroen M.d. NPPES

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

MARK R BLADERGROEN M.D. (NPI 1124058342) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Richmond, Virginia, licensed in Virginia (0101042193) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1124058342
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameMARK R BLADERGROENCredential: M.D.
Location Address5875 BREMO RD, SUITE G-5Richmond, VA 23226-1934
Mailing Address5875 Bremo Rd, Suite G-5Richmond, VA 23226-1934 · (804) 287-7840 · Fax (804) 287-7845
Fax(804) 287-7845
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1124058342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in VA · 0101042193
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
5875 BREMO RD, Richmond, VA 23226

Other Identifiers 3

OtherC06778VA · Group Ptan
Medicaid7300221VA
Other0101042193VA · Medical License

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

Mark R Bladergroen 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 ID6709883911
PECOS Enrollment IDI20061101000280
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.

Hospital Affiliations CMS Care Compare

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

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23226 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
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Psychiatry & Neurology (Neurology)
5875 BREMO RD, SUITE 303
RICHMOND, VA 23226
Internal Medicine (Interventional Cardiology)
5875 BREMO RD, SUITE 505
RICHMOND, VA 23226
Physician Assistant (Surgical)
5875 BREMO RD, SUITE G-5
RICHMOND, VA 23226
Internal Medicine (Hematology & Oncology)
5875 BREMO RD, SUITE G-11
RICHMOND, VA 23226
Ophthalmology
5875 BREMO RD, SUITE 508
RICHMOND, VA 23226
Otolaryngology
5875 BREMO RD, SUITE 308
RICHMOND, VA 23226
Social Worker (Clinical)
5875 BREMO RD, SUITEG-5
RICHMOND, VA 23226
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5875 BREMO RD, SUITE G5
RICHMOND, VA 23226

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 Bladergroen's NPI number?

The NPI number for Mark Bladergroen is 1124058342. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Mark Bladergroen located?

Mark Bladergroen practices at 5875 Bremo Rd Suite G-5, Richmond, VA 23226. The listed phone number is (804) 287-7840.

What is Mark Bladergroen's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Mark Bladergroen enrolled in Medicare?

Yes. Mark Bladergroen 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 Bladergroen affiliated with any hospitals?

According to CMS data, Mark Bladergroen is affiliated with Bon Secours St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Mark Bladergroen was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.