DR. MARK LUTHER SCHLAUDERAFF (M.D.) – Internal Medicine Physician, NPI 1487651667

DR. MARK LUTHER SCHLAUDERAFF (M.D.) is a healthcare provider. based in Shelton, Washington. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD00019248 (WA). The NPI Number for DR. MARK LUTHER SCHLAUDERAFF (M.D.) is 1487651667

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK LUTHER SCHLAUDERAFF (M.D.)
NPI
1487651667
Phone
(360) 426-2500
Address
237 PROFESSIONAL WAY
Enumeration Date
5 July 2005
Last Update Date
3 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
3604261611
Graduation Year
1980 (46 years ago)
PAC ID
5193624294
Group Practice PAC ID
0345139275
Professional Enrollment ID
I20090727000556
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARK LUTHER SCHLAUDERAFF (M.D.)

  • 237, Professional Way, Shelton, Mason County, Washington, 98584, United States

    SHELTON, WA 985844404

    Phone: (360) 426-2500

    Fax: (360) 462-2500

    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)

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: 2009-07-27

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
I20090727000556IInternal MedicineWATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4033$0
View full utilization report →

Insurance plans in this area (ZIP 98584)

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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: 0345139275View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Interventional CardiologyAK
-WA
Certified Registered Nurse Anesthetist (Crna)MN
Physician AssistantVA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
Nurse PractitionerPA
Physician AssistantWA
Physician AssistantWA

Reviews

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Frequently asked questions

What federal number belongs to DR. MARK LUTHER SCHLAUDERAFF (M.D.)?
The federal identifier for DR. MARK LUTHER SCHLAUDERAFF (M.D.) is NPI 1487651667.
Is DR. MARK LUTHER SCHLAUDERAFF (M.D.)'s NPI currently valid?
The extract we use shows DR. MARK LUTHER SCHLAUDERAFF (M.D.) as active.
What field does DR. MARK LUTHER SCHLAUDERAFF (M.D.) work in?
You can think of DR. MARK LUTHER SCHLAUDERAFF (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. MARK LUTHER SCHLAUDERAFF (M.D.) practice in Washington?
You will see Shelton, Washington on file for DR. MARK LUTHER SCHLAUDERAFF (M.D.) alongside any extra practice locations.
How can I contact DR. MARK LUTHER SCHLAUDERAFF (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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