Mark F. Deatherage, M.D.
NPI 1841293156ActiveIndividual· Surgery, Vascular Surgery· Grants Pass, OR
Surgery, Vascular Surgery (M.D.) in Grants Pass, Oregon, licensed in OR, with an NPI issued in May 2005. Enrolled in Medicare as practitioner - vascular surgery.
Overview
| NPI | 1841293156 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 31, 2005 |
| Last updated in NPPES | Oct 17, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | MD11842 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Vascular Surgery (OR) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery, Vascular Surgery providers in Grants Pass
- 1528114113
- 1700883956