Mark Double, D.O.
NPI 1669403903ActiveIndividual· Anesthesiology· Jackson, MI
Anesthesiology (D.O.) in Jackson, Michigan, trained at Michigan State University College of Osteopathic Medicine (class of 1992). Medicare paid $12,958 for services to 225 patients in 2024.
Overview
| NPI | 1669403903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jul 5, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | 51-01-011675 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 225 |
|---|---|
| Services billed | 227 across 6 procedure codes |
| Paid by Medicare | $12,958 |
Education and affiliations
| Medical school | Michigan State University College of Osteopathic Medicine |
|---|---|
| Graduation year | 1992 |
| Medicare specialty | Anesthesiology |
Medical groups
- W.A. Foote Memorial HospitalJackson, MI · 476 clinicians
- Anesthesia Associates of Ann Arbor PLLCPontaic, MI · 219 clinicians
- Huron Gastroenterology Associates PCLivonia, MI · 99 clinicians
Hospital affiliations
- Henry Ford Allegiance HealthJackson, MI
- Trinity Health Ann Arbor HospitalAnn Arbor, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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