MARK DALTON (D.O.) – Internal Medicine Physician, NPI 1093782138

MARK DALTON (D.O.) is a healthcare provider. based in Liberty lake, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. O0822 (ID). The NPI Number for MARK DALTON (D.O.) is 1093782138

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MARK DALTON (D.O.)
NPI
1093782138
Phone
(866) 747-2455
Address
PO BOX 12
Enumeration Date
8 March 2006
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5737769290
Graduation Year
2000 (26 years ago)
PAC ID
7517055890
Group Practice PAC ID
2668813197
Professional Enrollment ID
I20071120000544
Address ID
MO639011573PO3100XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

484 INTERNAL MEDICINE in MT

Provider Addresses for MARK DALTON (D.O.)

  • PO BOX 12

    LIBERTY LAKE, WA 990190012

    Phone: (866) 747-2455

    Fax: (406) 329-2659

    Type: Mailing

  • 500 W BROADWAY ST

    MISSOULA, MT 598024008

    Phone: (406) 543-7271

    Fax: (406) 327-1834

    Type: Location

  • West Kootenai Health Way, Coeur d'Alene, Kootenai County, Idaho, 83815, United States

    COEUR D ALENE, ID 838146051

    Phone: (208) 625-5085

    Fax: (208) 625-5731

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2022-06-30

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
I20071120000544IInternal MedicineMOTBD
I20141217002674IInternal MedicineIDTBD
I20220630002633IInternal MedicineMTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes309146$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes251126$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes143141$0
99239Hospital discharge day management, more than 30 minutes103103$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6025$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 2668813197View full group profile
NameSpecialtyState
Emergency MedicineTN
Nurse PractitionerMO
Nurse PractitionerAR
Internal MedicineMD
Nurse PractitionerMO
General SurgeryMO
Nurse PractitionerAR
A N E S T H E S I O L O G YMO
Nurse PractitionerTN
Nurse PractitionerMO

Reviews

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Frequently asked questions

How is MARK DALTON (D.O.) identified in CMS data?
CMS-hosted NPPES data lists MARK DALTON (D.O.) with NPI 1093782138.
Does CMS list MARK DALTON (D.O.) as active?
Yes — MARK DALTON (D.O.) is active in the NPI listing used on this page.
What is MARK DALTON (D.O.)'s primary classification?
Internal Medicine Physician is the headline specialty for MARK DALTON (D.O.) here. Clinical services aligned with this taxonomy classification.
Where is MARK DALTON (D.O.) based?
MARK DALTON (D.O.) is tied to Liberty Lake, Washington 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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