DR. MARK JON QUITADAMO MD
NPI 1891731022
Dermatology in Lebanon, NH

Active since June 22, 2006PECOS Enrolled
18 OLD ETNA RD, LEBANON, NH 03766(603) 308-1472 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Jon Quitadamo Md NPPES

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

DR. MARK JON QUITADAMO MD (NPI 1891731022) is an individual dermatology provider in Lebanon, New Hampshire, licensed in New Hampshire (8595) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Manchester.

NPPES Registry Identity

NPI1891731022
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MARK JON QUITADAMOCredential: MD
Location Address18 OLD ETNA RDLebanon, NH 03766-1937
Mailing AddressPo Box 810Hanover, NH 03755-0810 · (603) 308-1472
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateAugust 11, 2023
NPPES CertifiedAugust 11, 2023
NPI 1891731022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NH · 8595
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
18 OLD ETNA RD, Lebanon, NH 03766

Secondary Practice Location 1

Location 1100 Hitchcock WayManchester, NH 03104-4125 · Phone (603) 695-2500

Other Identifiers 1

Medicaid30004810NH

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 Jon Quitadamo 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 03766 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

Internal Medicine
18 OLD ETNA RD
LEBANON, NH 03766
Dermatology
18 OLD ETNA RD
LEBANON, NH 03766
Dermatology
18 OLD ETNA RD, DHMC - DERMATOLOGY
LEBANON, NH 03766
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Nurse Practitioner (Family)
18 OLD ETNA RD
LEBANON, NH 03766
Pediatrics
18 OLD ETNA RD
LEBANON, NH 03766
Internal Medicine
18 OLD ETNA RD, DHMC - INTERNAL MEDICINE
LEBANON, NH 03766

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 Quitadamo's NPI number?

The NPI number for Mark Quitadamo is 1891731022. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Mark Quitadamo located?

Mark Quitadamo practices at 18 Old Etna Rd, Lebanon, NH 03766. The listed phone number is (603) 308-1472.

What is Mark Quitadamo's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mark Quitadamo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Quitadamo was last updated on August 11, 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.