Mark Deatherage, M.D.
NPI 1841293156 · Vascular Surgery Physician · Grants Pass, OR
Enrolled with Medicare as Practitioner - Vascular Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Deatherage, M.D. is a Vascular Surgery Physician provider in Grants Pass, OR (NPI 1841293156).
Provider details
- NPI number
- 1841293156
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD11842 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-05-31
- Last updated
- 2012-10-17
Frequently asked questions
- What is Mark Deatherage's NPI number?
- Mark Deatherage's National Provider Identifier (NPI) is 1841293156, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Deatherage's specialty?
- Mark Deatherage is listed in the NPPES registry with a primary specialty of Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Deatherage located?
- Mark Deatherage's practice location on file with NPPES is 1600 Nw 6th St, Grants Pass, OR 97526-1094.
- What is Mark Deatherage's phone number?
- The practice phone number listed in the NPPES registry for Mark Deatherage is (541) 474-5533.
- Does Mark Deatherage accept Medicare?
- Mark Deatherage is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Deatherage's NPI active?
- Yes — Mark Deatherage's NPI (1841293156) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.