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Deactivated NPI 1578563276 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Henry Bechtel , MD

Specialist • Moscow, ID

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Bechtel has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 26, 2005
NPI Deactivation Date June 07, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bechtel, MD was a registered Specialist practicing in Moscow, ID. Throughout an active medical career spanning 18 years, Dr. Bechtel provided care at the practice location at 405 STYNER AVE until profile deactivation on 2023-06-07.

Historical Medicare Part B clinical services included low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, screening mammography, screening digital tomography of both breasts. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

405 Styner Ave

Moscow, ID 838439394

Telephone 2088828369
Fax 2088821887
Associated Practice Facility / Clinic
🏢 Radiology Consultants Ps Facility NPI 1700889581

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Moscow, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.5 Yrs
Regional Practice Density
5 Specialists

Practicing in Moscow, ID (194 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
74.0% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
1,196 12 $0.50 $0.17
77067 Screening mammography
52 52 $112.00 $35.97
77063 Screening digital tomography of both breasts
46 46 $86.00 $28.45
74177 Ct scan of abdomen and pelvis with contrast
38 37 $261.00 $85.53
71045 X-ray of chest, 1 view
29 27 $27.21 $8.65
71260 Ct scan of chest with contrast
24 23 $183.00 $53.11
71046 X-ray of chest, 2 views
24 24 $31.00 $10.35
71250 Ct scan of chest without contrast
20 20 $141.00 $50.69
76642 Limited ultrasound scan of 1 breast
13 13 $95.00 $32.18
74018 X-ray of abdomen, 1 view
13 12 $32.23 $8.32
71260 Ct scan of chest with contrast
11 11 $714.00 $124.59

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License ID M-9594

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Tucker Jeppson , DO

Radiology - Diagnostic Radiology

NPI 1104455922

Doctor of Osteopathic Medicine (D.O.)

Dr. Robert Farner , MD

Radiology - Diagnostic Radiology

NPI 1154313088

Doctor of Medicine (M.D.)

Dr. Christin Reisenauer , MD

Radiology - Diagnostic Radiology

NPI 1205802998

Doctor of Medicine (M.D.)

Dr. Dean Easton , MD

Radiology - Diagnostic Radiology

NPI 1407807266

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events
⚠️
NPI Profile Deactivated June 07, 2023

Record deactivated on June 07, 2023

📍
Updated Practice Location July 07, 2021

Registered at 2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 551133905 (Tel: 6512922000)

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Updated Business Mailing Address July 07, 2021

Registered at 2355 HIGHWAY 36 W STE 100, ROSEVILLE, MN 551133905 (Tel: 6512922000)

NPI Profile Active May 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2017

Registered at 4801 W 81ST ST STE 108, BLOOMINGTON, MN 554371111 (Tel: 9528379700)

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Updated Business Mailing Address May 19, 2017

Registered at 4801 W 81ST ST, BLOOMINGTON, MN 554371111 (Tel: (952) 837-9700)

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Provider Name / Credentials Updated May 19, 2017

Recorded as MARK BECHTEL, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2017

Radiology (License #45322 in MN)

NPI Profile Active November 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 27, 2007

Registered at 405 STYNER AVE, MOSCOW, ID 838439394 (Tel: 2088828369)

📍
Updated Business Mailing Address November 27, 2007

Registered at PO BOX 9105, MOSCOW, ID 838431605 (Tel: 2088828369)

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Provider Name / Credentials Updated November 27, 2007

Recorded as MARK BECHTEL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2007

Specialist (License #M-9594 in ID)

🟢
Initial NPI Registration & Enumeration July 26, 2005

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: 1578563276
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2005
Last Update: November 27, 2007
Deactivation Date: June 07, 2023

Mailing Address

Po Box 9105

Moscow, ID 838431605

Phone: 2088828369

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.