MARK R BLADERGROEN (M.D.) – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1124058342

MARK R BLADERGROEN (M.D.) is a healthcare provider. based in Richmond, Virginia. specializing in CARDIAC SURGERY, GENERAL SURGERY, THORACIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 0101042193 (VA). The NPI Number for MARK R BLADERGROEN (M.D.) is 1124058342

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MARK R BLADERGROEN (M.D.)
NPI
1124058342
Phone
(804) 287-7840
Address
5875 BREMO RD
Enumeration Date
4 July 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1979 (47 years ago)
PAC ID
6709883911
Group Practice PAC ID
8022440056
Professional Enrollment ID
I20061101000280
Address ID
VA232235311RI1510XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

63 CARDIAC SURGERY in VA

Provider Addresses for MARK R BLADERGROEN (M.D.)

  • 5875 BREMO RD

    SUITE G-5

    RICHMOND, VA 232261934

    Phone: (804) 287-7840

    Fax: (804) 287-7845

    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 10 Open Payments records for all available years, with a total value of $903.

Total Amount is formed as General ($903) + Research ($0) + Ownership ($0) = $903.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABIOMED ($173).

Total Amount

$903

General + Research + Ownership

Payments

10

Total payment records

General Amount

$903

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-11-01

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
I20061101000280ICardiac SurgeryVATBD

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
33508Harvest of vein using an endoscope1414$0
33533Coronary artery bypass using artery graft, 1 graft1414$0
View full utilization report →

Insurance plans in this area (ZIP 23226)

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Provider's Procedures

MARK R BLADERGROEN (M.D.) performs procedures in CARDIAC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIAC SURGERYVA33405Replacement of left lower heart chamber valve using artificial valve on heart-lung machine2020
CARDIAC SURGERYVA33533Heart artery bypass to repair one artery1818

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: 8022440056View full group profile
NameSpecialtyState
General SurgeryVA
N E U R O L O G YMA
General SurgeryVA
-VA
-VA
General SurgeryNC
Cardiac SurgeryVA
-VA
E N D O C R I N O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

Can I cross-check MARK R BLADERGROEN (M.D.) using NPI 1124058342?
NPI 1124058342 belongs to MARK R BLADERGROEN (M.D.); compare other details if you need extra assurance.
Active or inactive — what applies to MARK R BLADERGROEN (M.D.)?
You should see MARK R BLADERGROEN (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to MARK R BLADERGROEN (M.D.)?
MARK R BLADERGROEN (M.D.)'s specialty line reads Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. Clinical services aligned with this taxonomy classification.
Is MARK R BLADERGROEN (M.D.) associated with Richmond?
Public fields place MARK R BLADERGROEN (M.D.) around Richmond, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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