DR. MARK M DOLAN (M.D.) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1821251125
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
383 ORTHOPEDIC SURGERY in OR
Provider Addresses for DR. MARK M DOLAN (M.D.)
5825 Shoreview Ln N
Keizer, OR 973033978
Phone: (503) 540-6471
Fax: (503) 540-6404
Type: Location
1600, State Street, Salem, Marion County, Oregon, 97311, United States
SALEM, OR 973014257
Phone: (503) 540-6300
Fax: (503) 540-6404
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $1,336.
Total Amount is formed as General ($1,336) + Research ($0) + Ownership ($0) = $1,336.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Stryker Corporation ($1,288).
Total Amount
$1,336
General + Research + Ownership
Payments
8
Total payment records
General Amount
$1,336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,288 |
| ENCORE MEDICAL, LP | $33 |
| Pacira Pharmaceuticals Incorporated | $15 |
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: 2012-08-21
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 |
|---|---|---|---|---|
| I20120821000749 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 396 | 79 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 244 | 190 | $0 |
| 73564 | X-ray of knee, 4 or more views | 162 | 127 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 125 | 125 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 107 | 84 | $0 |
Insurance plans in this area (ZIP 97303)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| U R O L O G Y | OR | |
| Physician Assistant | OR | |
| A N E S T H E S I O L O G Y | WA | |
| A N E S T H E S I O L O G Y | MT | |
| Family Practice | OR | |
| Plastic And Reconstructive Surgery | OR | |
| Nurse Practitioner | OR | |
| A N E S T H E S I O L O G Y | WA | |
| - | OR |
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