MARK DELANO PETERSON (MD) – Orthopaedic Surgery of the Spine Physician, NPI 1699763607
Orthopaedic Surgery of the Spine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MARK DELANO PETERSON (MD)
People's Bank, 1311, East Barnett Road, Medford, Jackson County, Oregon, 97504, United States
STE 201
MEDFORD, OR 975048225
Phone: (541) 779-5007
Fax: (541) 779-5022
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $71,713.
Total Amount is formed as General ($71,713) + Research ($0) + Ownership ($0) = $71,713.
Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Orthofix Medical, Inc. ($44,210).
Total Amount
$71,713
General + Research + Ownership
Payments
41
Total payment records
General Amount
$71,713
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Orthofix Medical, Inc. | $44,210 |
| Globus Medical, Inc. | $13,797 |
| NuVasive, Inc. | $13,705 |
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: 2005-10-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051028000051 | I | Orthopedic Surgery | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97504)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | OR | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 38 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR |
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