MARK DELANO PETERSON MD
NPI 1699763607
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Medford, OR

Q: What is Mark Peterson's NPI number?

The NPI number for Mark Peterson is 1699763607. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 October 12, 2005PECOS Enrolled

1311 E BARNETT RD, STE 201, MEDFORD, OR 97504(541) 779-5007(541) 779-5022 Get Directions Write a Review

NPPES record last updated: September 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark Delano Peterson Md NPPES

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

MARK DELANO PETERSON MD (NPI 1699763607) is an individual orthopaedic surgery of the spine provider in Medford, Oregon, licensed in Oregon (MD18861) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699763607

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameMARK DELANO PETERSONCredential: MD

Location Address1311 E BARNETT RD, STE 201Medford, OR 97504-8225

Mailing Address1311 E Barnett Rd, Ste 201Medford, OR 97504-8225 · (541) 779-5007 · Fax (541) 779-5022

Phone(541) 779-5007

Fax(541) 779-5022

Sole ProprietorNo

Enumeration DateOctober 12, 2005

Last NPPES UpdateSeptember 17, 2013

✔ NPI 1699763607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in OR · MD18861

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

1311 E BARNETT RD, Medford, OR 97504

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Other Identifiers 3

Medicaid128129OR

Medicare UPINF73534

Medicare ID-Type Unspecified00WCGKNG

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 Delano Peterson Md 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.

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.

MR. THOMAS JASON TRUBENBACH F.N.P.

Nurse Practitioner (Family)

1311 E BARNETT RD, SUITE 201
MEDFORD, OR 97504

Jackson County (541) 779-5007

MRS. JOANN LANAE REED MSN, NP-C

Nurse Practitioner (Family)

1311 E BARNETT RD, SUITE 201
MEDFORD, OR 97504

Jackson County (541) 779-5007

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 Peterson's NPI number?

The NPI number for Mark Peterson is 1699763607. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Mark Peterson located?

Mark Peterson practices at 1311 E Barnett Rd Ste 201, Medford, OR 97504. The listed phone number is (541) 779-5007.

What is Mark Peterson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Mark Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Peterson was last updated on September 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.