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DR. MARK B VANDEUSEN M.D.
NPI 1225271018
Otolaryngology in Cumming, GA

Active since April 09, 2009PECOS EnrolledAccepts Medicare Assignment
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260, CUMMING, GA 30040(770) 292-3045(770) 292-3046 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 15, 2026, Mar 17, 2018, Jul 28, 2017 (3 updates tracked since 2017).

About Dr. Mark B Vandeusen M.d. NPPES

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

DR. MARK B VANDEUSEN M.D. (NPI 1225271018) is an individual otolaryngology provider in Cumming, Georgia, licensed in Georgia (70919) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of State University Of Ny Upstate Medical University (2009).

NPPES Registry Identity

NPI1225271018
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARK B VANDEUSENCredential: M.D.
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260Cumming, GA 30040
Mailing Address4150 Deputy Bill Cantrell Memorial Rd, Suite 260Cumming, GA 30040 · (315) 269-0291 · Fax (770) 292-3046
Phone(770) 292-3045
Fax(770) 292-3046
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2009
Enumeration DateApril 9, 2009
Last NPPES UpdateJanuary 15, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1225271018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in GA · 70919
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4150 DEPUTY BILL CANTRELL MEMORIAL RD, Cumming, GA 30040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

Dr. Mark B Vandeusen 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 ID4880818194
PECOS Enrollment IDI20140606000580
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.

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
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.
292 services191 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
160 services76 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
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.
101 services101 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
92 services74 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
62 services47 patients
Ct scan of face without contrast 70486
A CT scan of the face without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your face, including bones, soft tissues, and blood vessels. It's often used to diagnose diseases, injuries, or abnormalities. No contrast dye is used in this procedure.
48 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers13 claims13 services$33.67 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers12 claims12 services$49.57 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$15.32 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers13 claims77 services$1.76 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
6 suppliers11 claims11 services$11.63 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers13 claims13 services$29.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. HIRAL N PATEL RPA-C
Physician Assistant (Medical)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. TYLER INCHUL AN D.O.
Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600
NEWCO GI LLC
Internal Medicine (Gastroenterology)
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 290
CUMMING, GA 30040
Forsyth County (404) 446-0600
ERIN EILEEN YARD APRN FNP-C
Nurse Practitioner (Family)
4150 DEPUTY BILL CANTRELL MEMORIAL RD
CUMMING, GA 30040
Forsyth County (404) 446-0600
LAURA ANN WYNN BS
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
LAURA M GENONE AUD
Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
DR. JOSEPH ANTHONY SCIARRINO M.D.
Otolaryngology
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
YENI XIOMARA TICAS
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL RD, STE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041

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 Vandeusen's NPI number?

The NPI number for Mark Vandeusen is 1225271018. It was assigned to this individual provider in the NPPES registry on April 9, 2009.

Where is Mark Vandeusen located?

Mark Vandeusen practices at 4150 Deputy Bill Cantrell Memorial Rd Suite 260, Cumming, GA 30040. The listed phone number is (770) 292-3045.

What is Mark Vandeusen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Vandeusen enrolled in Medicare?

Yes. Mark Vandeusen 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.

What insurance does Mark Vandeusen accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mark Vandeusen 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 Vandeusen affiliated with any hospitals?

According to CMS data, Mark Vandeusen is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Mark Vandeusen was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.