DR. MARK B VANDEUSEN (M.D.) – Otolaryngology Physician, NPI 1225271018

DR. MARK B VANDEUSEN (M.D.) is a healthcare provider. based in Alpharetta, Georgia. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. 70919 (GA). The NPI Number for DR. MARK B VANDEUSEN (M.D.) is 1225271018

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK B VANDEUSEN (M.D.)
NPI
1225271018
Phone
(770) 292-3045
Address
3180 N Point Pkwy Ste 512
Enumeration Date
9 April 2009
Last Update Date
15 January 2026

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
7702923045
Graduation Year
2009 (17 years ago)
PAC ID
4880818194
Group Practice PAC ID
9830403229
Professional Enrollment ID
I20140606000580
Address ID
GA300400000CU4150XRDXX606
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

392 OTOLARYNGOLOGY in GA

Provider Addresses for DR. MARK B VANDEUSEN (M.D.)

  • 3180 N Point Pkwy Ste 512

    Alpharetta, GA 300054569

    Phone: (770) 292-3045

    Fax: (770) 292-3046

    Type: Location

  • 3195 POWERS FORD SE

    MARIETTA, GA 30067

    Phone: (315) 269-0291

    Type: Mailing

  • 3180 N POINT PKWY STE 302

    ALPHARETTA, GA 300054248

    Phone: (678) 679-5070

    Type: Location

  • 4150 DEPUTY BILL CANTRELL MEMORIAL RD

    SUITE 260

    CUMMING, GA 30040

    Phone: (315) 269-0291

    Fax: (770) 292-3046

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,490.

Total Amount is formed as General ($1,490) + Research ($0) + Ownership ($0) = $1,490.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: GENZYME CORPORATION ($501).

Total Amount

$1,490

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,490

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140606000580IOtolaryngologyGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes205152$0
31231Diagnostic exam of nasal passages using an endoscope12470$0
99203New patient office or other outpatient visit, 30-44 minutes106106$0
99214Established patient office or other outpatient visit, 30-39 minutes6050$0
31575Diagnostic exam of voice box using a flexible endoscope5538$0
View full utilization report →

Insurance plans in this area (ZIP 30005)

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Provider's Procedures

DR. MARK B VANDEUSEN (M.D.) performs procedures in OTOLARYNGOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OTOLARYNGOLOGYGA95117Injection of incremental dosages of allergen, 2 or more injections42756

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830403229View full group profile
NameSpecialtyState
Physician AssistantGA
Qualified AudiologistGA
Qualified AudiologistGA
O T O L A R Y N G O L O G YSC
O T O L A R Y N G O L O G YAL
Qualified AudiologistGA
O T O L A R Y N G O L O G YGA
Qualified AudiologistGA
Otolaryngology, Plastic And Reconstructive SurgeryGA
Otolaryngology, Sleep MedicineTN

Reviews

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Frequently asked questions

Does DR. MARK B VANDEUSEN (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK B VANDEUSEN (M.D.) uses 1225271018.
Is DR. MARK B VANDEUSEN (M.D.) still practicing?
DR. MARK B VANDEUSEN (M.D.) is currently listed as active in the public NPI registry.
What is DR. MARK B VANDEUSEN (M.D.)'s specialty?
The listing groups DR. MARK B VANDEUSEN (M.D.) with Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. MARK B VANDEUSEN (M.D.) based?
DR. MARK B VANDEUSEN (M.D.) is tied to Alpharetta, Georgia in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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