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Active NPI 1710093612 Individual Practitioner Male Practitioner

Mark Frederick Ackerman , PA-C

Physician Assistant • Orofino, ID

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mark Ackerman, PA-C is a certified Physician Assistant practicing in Orofino, ID. With approximately 36 years of clinical experience since completing medical education in 1990, Mark Ackerman delivers high-quality medical care to the local community at 1055 RIVERSIDE AVE.

Mark Ackerman is affiliated with Clearwater Valley Hospital And Clinics Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1055 Riverside Ave

Orofino, ID 835449029

Telephone 2084764555
Fax 2084765385
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Orofino, ID

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
36 Yrs +21.3 yrs vs City Avg
City Avg: 14.7 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
3 Specialists

Practicing in Orofino, ID (1261 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ackerman (36 Years) 36 Yrs
Orofino Specialty Average (14.7 Years) 14.7 Yrs

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
99284 Emergency department visit with moderate level of medical decision making
12 12 $1196.00 $95.58
99285 Emergency department visit for life threatening or functioning severity
12 12 $1761.00 $138.79

Medical Specialties & State Licenses

CMS Verified: 2024-07-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ID PA-392

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Clearwater Valley Hospital And Clinics Inc

301 Cedar St, Orofino, ID 835449029

Phone: 2084765777

Secondary Practice Locations

700 S Main St

Moscow, ID 838433046

Phone: 2088824511

Practice Associates & Co-Workers

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

28 Associated Practitioners
Julia Lienesch

Nurse Anesthetist, Certified Registered

NPI 1043623309
Dr. Brett Mumford , DO

Emergency Medicine

NPI 1164463113

Doctor of Osteopathic Medicine (D.O.)

NPI 1295730661

Doctor of Medicine (M.D.)

Dr. Vanessa Brown , MD

Family Medicine

NPI 1295816502

Doctor of Medicine (M.D.)

NPI 1295949519

Doctor of Medicine (M.D.)

Erin Massey , LCSW

Social Worker - Clinical

NPI 1376884593

Licensed Clinical Social Worker

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 23, 2019

Registered at 1055 RIVERSIDE AVE, OROFINO, ID 835449029 (Tel: 2084764555)

📍
Updated Practice Location July 30, 2019

Registered at 301 CEDAR ST, OROFINO, ID 835449029 (Tel: 2084764555)

📍
Updated Business Mailing Address July 30, 2019

Registered at 301 CEDAR ST, OROFINO, ID 835449029 (Tel: 2084764555)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 317 MAIN ST, EAGLE BUTTE, SD 576251012 (Tel: 6059643020)

📍
Updated Business Mailing Address July 08, 2007

Registered at 317 MAIN ST, BOX 1012, EAGLE BUTTE, SD 576251012 (Tel: 6059643020)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK ACKERMAN, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA-392 in ID)

🟢
Initial NPI Registration & Enumeration August 22, 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: 1710093612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 19, 2024
Sole Proprietor: No

Mailing Address

301 Cedar St

Orofino, ID 835449029

Phone: 2084764555

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.