MARK R BASSETT (MD) – Otolaryngology Physician, NPI 1619969045

MARK R BASSETT (MD) is a healthcare provider. based in Spokane, Washington. specializing in Otolaryngology Physician. They hold the professional credentials MD. They hold a License No. MD00020088 (WA). The NPI Number for MARK R BASSETT (MD) is 1619969045

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
MARK R BASSETT (MD)
NPI
1619969045
Phone
(509) 838-2531
Address
400 E 5TH AVE
Enumeration Date
22 August 2005
Last Update Date
12 December 2008

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1977 (49 years ago)
PAC ID
8527046440
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20040708000672
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 MARK R BASSETT (MD)

  • East 5th Avenue, East Central, Spokane, Spokane County, Washington, 99202, United States

    SPOKANE, WA 992021334

    Phone: (509) 838-2531

    Type: Location

  • PO BOX 3649

    SPOKANE, WA 992203649

    Phone:

    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: 2004-07-08

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
I20040708000672IOtolaryngologyWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99202)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

How do I look up MARK R BASSETT (MD) by NPI?
Use NPI 1619969045 when you need to reference MARK R BASSETT (MD) in forms, claims, or directories.
Is MARK R BASSETT (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MARK R BASSETT (MD) work in?
You can think of MARK R BASSETT (MD) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK R BASSETT (MD)?
The page summarizes Spokane, Washington for MARK R BASSETT (MD); expand the address list for detail.
Is MARK R BASSETT (MD) a real provider?
This page reflects official NPPES data for NPI 1619969045. Always confirm identity and privileges with the practice and licensing boards.

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