DR. MARK N DONOVAN MD
NPI 1457695546
Surgery in Anacortes, WA

Q: What is Mark Donovan's NPI number?

The NPI number for Mark Donovan is 1457695546. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Q: What is Mark Donovan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Donovan was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 15, 2012PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

1213 24TH ST STE 700, ANACORTES, WA 98221(360) 293-5412(360) 299-2043 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2022, Sep 18, 2018 (2 updates tracked since 2018).

On this page

About Dr. Mark N Donovan Md NPPES

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

DR. MARK N DONOVAN MD (NPI 1457695546) is an individual surgery provider in Anacortes, Washington, licensed in Washington (MD61166228) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS, is affiliated with Island Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1457695546

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MARK N DONOVANCredential: MD

Location Address1213 24TH ST STE 700Anacortes, WA 98221-2593

Mailing Address1211 24th StAnacortes, WA 98221-2562 · (360) 293-5412 · Fax (360) 299-2043

Phone(360) 293-5412

Fax(360) 299-2043

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateNovember 15, 2012

Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration

NPPES CertifiedAugust 5, 2022

✔ NPI 1457695546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WA · MD61166228✔ Licensed in OR · MD187304

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1213 24TH ST STE 700, Anacortes, WA 98221

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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 N Donovan Md 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 ID9234484726

PECOS Enrollment IDI20210713003562

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 12

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.

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.

132 services132 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

76 services76 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.

45 services44 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

38 services38 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

25 services25 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services23 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

23 services23 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

22 services22 patients

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.

20 services18 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services15 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

13 services12 patients

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Island Hospital

Acute Care Hospitals · Anacortes, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500007

Location1211 24th StreetAnacortes, WA 98221 · Skagit County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98221 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

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.

95.5/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Promoting Interoperability

Improvement Activities

Cost

100

Reported Quality Measures

Breast Cancer Screening

60%109 patients3/55-star benchmark: 93%

Cervical Cancer Screening

31%102 patients2/55-star benchmark: 98%

Colorectal Cancer Screening

64%280 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

66%165 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

33%36 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

44%36 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%733 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

18%463 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 275 patients

0%275 patients

Provide Patients Electronic Access to Their Health Information

78%127 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

70%139 patients3/55-star benchmark: 91%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. JOSEPH W MULCAHY M.D.

Surgery

1213 24TH ST STE 700
ANACORTES, WA 98221

Skagit County (360) 293-5142

DONALD E. WAKELIN MD

Internal Medicine (Gastroenterology)

1213 24TH ST STE 700
ANACORTES, WA 98221

Skagit County (360) 299-5142

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 Donovan's NPI number?

The NPI number for Mark Donovan is 1457695546. It was assigned to this individual provider in the NPPES registry on November 15, 2012.

Where is Mark Donovan located?

Mark Donovan practices at 1213 24th St Ste 700, Anacortes, WA 98221. The listed phone number is (360) 293-5412.

What is Mark Donovan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Donovan enrolled in Medicare?

Yes. Mark Donovan 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 Donovan accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Donovan 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 Donovan affiliated with any hospitals?

According to CMS data, Mark Donovan is affiliated with Island Hospital.

When was this NPI record last updated?

The NPPES record for Mark Donovan was last updated on August 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.