DR. MARK THOMAS MCDONOUGH DDS
NPI 1760048557
Dentist - Oral and Maxillofacial Surgery in Indianapolis, IN

Active since May 16, 2019PECOS Enrolled
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202(317) 274-8300 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Thomas Mcdonough Dds NPPES

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

DR. MARK THOMAS MCDONOUGH DDS (NPI 1760048557) is an individual oral and maxillofacial surgery provider in Indianapolis, Indiana, licensed in Indiana (12013134A) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760048557
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARK THOMAS MCDONOUGHCredential: DDS
Location Address550 UNIVERSITY BLVDIndianapolis, IN 46202-5149
Mailing Address550 University Blvd # 3145Indianapolis, IN 46202-5149 · (317) 274-8300
Sole ProprietorNo
Enumeration DateMay 16, 2019
NPI 1760048557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in IN · 12013134A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
550 UNIVERSITY BLVD, Indianapolis, IN 46202

Accepted 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)

Dr. Mark Thomas Mcdonough 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 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

Radiology (Diagnostic Radiology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Nurse Practitioner (Gerontology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Obstetrics & Gynecology (Gynecology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Internal Medicine (Rheumatology)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
550 UNIVERSITY BLVD, SUITE 4100
INDIANAPOLIS, IN 46202
Psychologist (Health)
550 UNIVERSITY BLVD, ROOM UH 3240
INDIANAPOLIS, IN 46202
Nurse Practitioner (Adult Health)
550 UNIVERSITY BLVD
INDIANAPOLIS, IN 46202

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 Mcdonough's NPI number?

The NPI number for Mark Mcdonough is 1760048557. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Mark Mcdonough located?

Mark Mcdonough practices at 550 University Blvd, Indianapolis, IN 46202. The listed phone number is (317) 274-8300.

What is Mark Mcdonough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Mark Mcdonough enrolled in Medicare?

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

What insurance does Mark Mcdonough accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Indiana and 2 other insurers list Mark Mcdonough 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 Mcdonough was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.