DR. MARK POGUE
NPI 1255327169
Oral & Maxillofacial Surgery in Scottsdale, AZ
NPI Status: Active since September 26, 2005
Contact Information
8535 E HARTFORD DR
SCOTTSDALE, AZ
ZIP 85255
Phone: (480) 515-5400
Fax: (480) 515-5493
- Individual
- Male
- Oral & Maxillofacial Surgery
- Accepts Insurance
- Opted-Out Medicare
About MARK POGUE
This page provides the complete NPI Profile along with additional information for Mark Pogue, a provider established in Scottsdale, Arizona with a medical specialization in Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1255327169 assigned on September 2005. The practitioner's primary taxonomy code is 204E00000X with license number 26467 (AZ). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1255327169
- Provider Name
- DR. MARK POGUE
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8535 E HARTFORD DR SCOTTSDALE, AZ 85255
- Location Phone
- (480) 515-5400
- Location Fax
- (480) 515-5493
- Mailing Address
- 8535 E HARTFORD DR SCOTTSDALE, AZ 85255
- Mailing Phone
- (480) 515-5400
- Mailing Fax
- (480) 515-5493
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-26-2005
- Last Update Date
- 03-13-2012
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Mark Pogue opted out of Medicare effective on 12-31-2022 until 12-31-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 26467
- License State
- AZ
- Taxonomy Description
- Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental Essential Plan - Family or Child Only - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| U79221 | MEDICARE UPIN (02) | AZ | |
| 61133 | MEDICARE ID-TYPE UNSPECIFIED (04) | AZ |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-31-2022
Opt-Out End Date: 12-31-2026
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
New patient office or other outpatient visit, 30-44 minutes
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.
This service was performed 40 times for 40 patientsReviews for DR. MARK POGUE
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1255327169, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
SCOTTSDALE, ARIZONA 85255
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255327169, enumerated as an "individual" on September 26, 2005.
The provider is located at 8535 E HARTFORD DR SCOTTSDALE, AZ 85255 and the phone number is (480) 515-5400.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: Delta Dental of Arizona, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
