MARK J. DOHERTY (M.D.) – Dermatology Physician, NPI 1801892260
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
393 DERMATOLOGY in WA
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Provider Addresses for MARK J. DOHERTY (M.D.)
Ellis Street, Sehome, Bellingham, Whatcom County, Washington, 98225-5215, United States
BELLINGHAM, WA 982255245
Phone: (360) 746-2380
Fax: (360) 746-2382
Type: Location
1793 13TH ST SE
SALEM, OR 973022541
Phone: (503) 362-8385
Fax: (503) 362-8435
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: 2005-04-20
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 |
|---|---|---|---|---|
| I20050420001168 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,813 | 427 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 645 | 512 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 561 | 478 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 238 | 185 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 162 | 150 | $0 |
Insurance plans in this area (ZIP 98225)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | WA | |
| D E R M A T O L O G Y | OR | |
| D E R M A T O L O G Y | WA | |
| Physician Assistant | WA | |
| D E R M A T O L O G Y | WA | |
| Nurse Practitioner | WA | |
| D E R M A T O L O G Y | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | OR |
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