MARK A DERAMO (M.D.) – Family Medicine Physician, NPI 1205835576
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
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Provider Addresses for MARK A DERAMO (M.D.)
501, South 5th Avenue, Yakima, Yakima County, Washington, 98902, United States
YAKIMA, WA 989023550
Phone: (509) 494-6700
Fax: (509) 573-6275
Type: Mailing
1806, West Lincoln Avenue, Yakima, Yakima County, Washington, 98902, United States
YAKIMA, WA 989022473
Phone: (509) 452-4520
Fax: (509) 452-5224
Type: Location
22707 SE 29th St
Sammamish, WA 980759532
Phone: (425) 455-2845
Fax: (206) 861-8602
Type: Location
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: 2004-08-26
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 |
|---|---|---|---|---|
| I20040826000195 | I | Family Practice | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 228 | 114 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 90 | 90 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 34 | 31 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 14 | 11 | $0 |
| G0008 | Administration of influenza virus vaccine | 12 | 12 | $0 |
Insurance plans in this area (ZIP 98902)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 90670 | Pneumococcal vaccine for injection into muscle | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| Internal Medicine | VA | |
| Family Practice | GA | |
| Orthopedic Surgery | IL | |
| - | NC | |
| - | TX | |
| Internal Medicine | MA | |
| Family Practice | OR | |
| Nurse Practitioner | WA | |
| Internal Medicine | MA |
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