MARK PAUL BORTOLUSSI DDS
NPI 1639285752
Dentist in Marshall, MI

Q: What is Mark Bortolussi's NPI number?

The NPI number for Mark Bortolussi is 1639285752. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Mark Bortolussi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Bortolussi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 August 22, 2006PECOS Enrolled

213 EAST MICHIGAN AVE, MARSHALL, MI 49068(269) 781-1108(269) 781-9164 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mark Paul Bortolussi Dds NPPES

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

MARK PAUL BORTOLUSSI DDS (NPI 1639285752) is an individual dentist in Marshall, Michigan, licensed in Michigan (2901016722) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639285752

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMARK PAUL BORTOLUSSICredential: DDS

Location Address213 EAST MICHIGAN AVEMarshall, MI 49068

Mailing Address213 East Michigan AveMarshall, MI 49068 · (269) 781-1108 · Fax (269) 781-9164

Phone(269) 781-1108

Fax(269) 781-9164

Sole ProprietorNo

Enumeration DateAugust 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1639285752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901016722

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

213 EAST MICHIGAN AVE, Marshall, MI 49068

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 (PECOS)

Mark Paul Bortolussi Dds 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 49068 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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 Bortolussi's NPI number?

The NPI number for Mark Bortolussi is 1639285752. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Mark Bortolussi located?

Mark Bortolussi practices at 213 East Michigan Ave, Marshall, MI 49068. The listed phone number is (269) 781-1108.

What is Mark Bortolussi's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mark Bortolussi enrolled in Medicare?

Yes. Mark Bortolussi is registered in the Medicare PECOS enrollment system.

What insurance does Mark Bortolussi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Delta Dental of Michigan and 2 other insurers list Mark Bortolussi 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.

When was this NPI record last updated?

The NPPES record for Mark Bortolussi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.