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MARK D DEBOER MD
NPI 1730100868
Pediatrics - Pediatric Endocrinology in Charlottesville, VA

Active since July 22, 2006PECOS Enrolled
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 243-3300 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2023, Jul 30, 2021, Oct 15, 2020 and 1 more (4 updates tracked since 2019).

About Mark D Deboer Md NPPES

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

MARK D DEBOER MD (NPI 1730100868) is an individual pediatric endocrinology provider in Charlottesville, Virginia, licensed in Virginia (0101232515) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1730100868
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameMARK D DEBOERCredential: MD
Location Address1204 W MAIN STCharlottesville, VA 22903-2824
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Phone(434) 924-0123
Fax(434) 243-3300
Sole ProprietorNo
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 9, 20234 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1730100868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License✔ Licensed in VA · 0101232515
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
1204 W MAIN ST, Charlottesville, VA 22903
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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2824 · Phone (434) 924-0211

Other Identifiers 2

Medicaid1730100868VA
Medicaid232445OR

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 D Deboer 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

HEATHER STEVENS SPADER MD
Neurological Surgery
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 243-5749
DR. ASMA SHAHID HABIB M.D.
Pediatrics (Pediatric Cardiology)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-9119
JENNIFER MOORE ANDREWS D.O.
Pediatrics
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
WILLIAM G. WILSON M.D.
Medical Genetics (Clinical Genetics (M.D.))
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
CHRISTIAN A. CHISHOLM MD
Obstetrics & Gynecology
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2500
LINDA A. WAGGONER FOUNTAIN MD
Pediatrics (Pediatric Infectious Diseases)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-0123
ANNE C BUTZ LCSW
Social Worker (Clinical)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-5321
KEITH R. BACHMANN M.D.
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903
Charlottesville City (434) 924-2301

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 Deboer's NPI number?

The NPI number for Mark Deboer is 1730100868. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Mark Deboer located?

Mark Deboer practices at 1204 W Main St, Charlottesville, VA 22903. The listed phone number is (434) 924-0123.

What is Mark Deboer's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Mark Deboer enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Deboer was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.