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Active NPI 1265407043 Individual Practitioner Male Practitioner

Dr. Mark Alan Dobbertien , DO

Surgery • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Dobbertien, DO is a registered healthcare professional specializing in Surgery in Jacksonville, FL. Practice services are available at 655 W 8TH ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

655 W 8th St
Ufjp Surgery Department

Jacksonville, FL 322096511

Telephone 9043831015
Fax 9042446252
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.4 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
138 Specialists

Practicing in Jacksonville, FL (2030 Statewide)

Telehealth Adoption Rate
14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
39 38 $2395.13 $181.62
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
12 12 $122.00 $8.72

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL OS 6627

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License FL OS 6627

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3738060-00 (FL)
Medicaid State Provider ID
00744004A (GA)
Medicaid State Provider ID
2748282-00 (FL)
Commercial Insurance / Payer ID Rr Medicare
930071111 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
NPI 1003311184

Doctor of Medicine (M.D.)

NPI 1124522198

Doctor of Osteopathic Medicine (D.O.)

NPI 1154611929

Doctor of Medicine (M.D.)

David Ebler

Surgery - Surgical Critical Care

NPI 1174776322
Anne Heukwa-Tefoung

Student in an Organized Health Care Education/Training Program

NPI 1235070681
Dr. Matthew Kochuba , MD

Surgery - Surgical Critical Care

NPI 1316385727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 11, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2011

Registered at 655 W 8TH ST, UFJP SURGERY DEPARTMENT, JACKSONVILLE, FL 322096511 (Tel: 9043831015)

📍
Updated Business Mailing Address January 11, 2011

Registered at PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 322314008

👤
Provider Name / Credentials Updated January 11, 2011

Recorded as MARK DOBBERTIEN, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2011

Emergency Medicine (License #OS 6627 in FL)

🟢
Initial NPI Registration & Enumeration February 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265407043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2006
Last Update: January 11, 2011
Sole Proprietor: No

Mailing Address

Po Box 44008, Ufjp Provider Enrollment

Jacksonville, FL 322314008

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.