MARK JOHN BASKERVILLE (M.D.) – Emergency Medicine Physician, NPI 1306801824

MARK JOHN BASKERVILLE (M.D.) is a healthcare provider. based in Eugene, Oregon. specializing in ANESTHESIOLOGY, CRITICAL CARE (INTENSIVISTS), ANESTHESIOLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. D54897 (MD). The NPI Number for MARK JOHN BASKERVILLE (M.D.) is 1306801824

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
MARK JOHN BASKERVILLE (M.D.)
NPI
1306801824
Phone
(541) 686-7300
Address
1255 Hilyard St
Enumeration Date
18 April 2006
Last Update Date
9 March 2026

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
1759316615
Group Practice PAC ID
6901702869
Professional Enrollment ID
I20050928001578
Address ID
OR972393011PO3181XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:20State licenses:3Digital endpointsOther names

867 ANESTHESIOLOGY in OR

Provider Addresses for MARK JOHN BASKERVILLE (M.D.)

  • 1255 Hilyard St

    Eugene, OR 974013718

    Phone: (541) 686-7300

    Type: Location

  • 8600 Old Georgetown Rd

    Bethesda, MD 208141422

    Phone: (301) 896-7610

    Fax: (301) 896-7626

    Type: Location

  • 6201 GREENLEIGH AVE

    MIDDLE RIVER, MD 212202004

    Phone: (410) 933-0000

    Fax: (410) 500-4266

    Type: Mailing

  • 5755 CEDAR LN

    COLUMBIA, MD 210442912

    Phone: (410) 884-8688

    Type: Location

  • Peace Health Medical Center University District, 1255, Hilyard Street, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974013718

    Phone: (541) 686-7300

    Type: Location

  • Eugene Post Office, 520, Willamette Street, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974010011

    Phone: (541) 686-9551

    Fax: (541) 687-6716

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Abbott Laboratories ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$22
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: 2020-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20050928001578IAnesthesiologyORTBD
I20201208000186ICritical Care (Intensivists)MDTBD
I20201208000235ICritical Care (Intensivists)DCTBD

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
99291Critical care, first 30-74 minutes188142$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)2018$0
36620Insertion of artery tube for blood sampling or infusion through skin1514$0
31500Emergent insertion of breathing tube into windpipe using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 97401)

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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: 6901702869View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
-OR
-OR
Certified Registered Nurse Anesthetist (Crna)OR
-OR
-OR
-OR
-OR
Certified Registered Nurse Anesthetist (Crna)HI
A N E S T H E S I O L O G YMN

Reviews

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Frequently asked questions

What is the standard ID for MARK JOHN BASKERVILLE (M.D.) in the U.S.?
In the U.S., MARK JOHN BASKERVILLE (M.D.) is identified by NPI 1306801824.
Is MARK JOHN BASKERVILLE (M.D.)'s NPI status active today?
Active status means MARK JOHN BASKERVILLE (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits MARK JOHN BASKERVILLE (M.D.)?
NPPES ties MARK JOHN BASKERVILLE (M.D.) to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MARK JOHN BASKERVILLE (M.D.) in Eugene, Oregon?
For routing, start with Eugene, Oregon for MARK JOHN BASKERVILLE (M.D.), then verify phone and hours locally.
Can I export MARK JOHN BASKERVILLE (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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