MARK P VANDERBURGH M.D.
NPI 1497796866
Family Medicine in Salem, OR

Q: What is Mark Vanderburgh's NPI number?

The NPI number for Mark Vanderburgh is 1497796866. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Mark Vanderburgh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Vanderburgh was last updated on May 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 09, 2006PECOS Enrolled

3494 LIBERTY RD S, SALEM, OR 97302(503) 399-2424(503) 375-7429 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark P Vanderburgh M.d. NPPES

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

MARK P VANDERBURGH M.D. (NPI 1497796866) is an individual family medicine provider in Salem, Oregon, licensed in Oregon (MD287521) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497796866

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK P VANDERBURGHCredential: M.D.

Location Address3494 LIBERTY RD SSalem, OR 97302-4607

Mailing AddressPo Box 8100Salem, OR 97303-0900 · (503) 399-2424 · Fax (503) 375-7429

Phone(503) 399-2424

Fax(503) 375-7429

Sole ProprietorNo

Enumeration DateJune 9, 2006

Last NPPES UpdateMay 27, 2010

✔ NPI 1497796866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD287521

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3494 LIBERTY RD S, Salem, OR 97302

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Other Identifiers 6

Other080170917Railroad Medicare

Medicare PINR111468OR

Medicaid287521OR

OtherCS4159Railroad Group

Medicare UPINF06588OR

Medicare NSC1912175035OR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark P Vanderburgh M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97302 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers26 claims69 services$5.11 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims18 services$0.84 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.

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