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Active NPI 1669403903 Individual Practitioner Male Practitioner

Dr. Mark Double , DO

Anesthesiology • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Double, DO is a certified Anesthesiology practicing in Jackson, MI. With approximately 34 years of clinical experience since graduating from Michigan State University College Of Osteopathic Medicine in 1992, Dr. Double delivers high-quality medical care to the local community at 205 N EAST AVE.

Dr. Double maintains professional affiliations with Anesthesia Associates Of Ann Arbor Pllc, Huron Gastroenterology Associates P.C., W. A. Foote Memorial Hospital, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include anesthesia for procedure on large bowel using an endoscope, anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for exam of colon using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884963
Fax 5177895903
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiology in Jackson, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
34 Yrs +12.4 yrs vs City Avg
City Avg: 21.6 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
29 Specialists

Practicing in Jackson, MI (1799 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
90.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Double (34 Years) 34 Yrs
Jackson Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00811 Anesthesia for procedure on large bowel using an endoscope
88 88 $601.36 $64.14
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
70 68 $875.71 $67.64
00812 Anesthesia for exam of colon using an endoscope
31 31 $426.45 $47.50
00813 Anesthesia for procedure on small and large bowel using an endoscope
21 21 $991.90 $83.98

Medical Specialties & State Licenses

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

State License MI 51-01-011675

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4586940 (MI)

Hospital & Practice Group Affiliations

Huron Gastroenterology Associates P.c.

5300 Elliott Dr, Ypsilanti, MI 481978632

Phone: 7344346262

Anesthesia Associates Of Ann Arbor Pllc

2006 Hogback Rd, Ann Arbor, MI 481059750

W. A. Foote Memorial Hospital, Inc.

205 N E Ave, Jackson, MI 492011753

Anesthesia Associates Of Ann Arbor Pllc

5301 E Huron River Dr, Ypsilanti, MI 481971051

Phone: 7347123456

Anesthesia Associates Of Ann Arbor Pllc

5301 Mcauley Dr, Ypsilanti, MI 481971051

Phone: 7347123456

W. A. Foote Memorial Hospital, Inc.

205 S E Ave, Jackson, MI 492012413

Phone: 5172052103

Practice Associates & Co-Workers

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

24 Associated Practitioners
Michael Haas , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023110715

Certified Registered Nurse Anesthetist

Meredith Meston , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033422795

Certified Registered Nurse Anesthetist

Ruth Deilus , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093885071

Certified Registered Nurse Anesthetist

Nicholas Camilleri

Nurse Anesthetist, Certified Registered

NPI 1114457991
Louis Busch , CRNA

Nurse Anesthetist, Certified Registered

NPI 1174533467

Certified Registered Nurse Anesthetist

Susan Whitbread , CRNA

Nurse Anesthetist, Certified Registered

NPI 1215007299

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884963)

📍
Updated Business Mailing Address July 08, 2007

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884963)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK DOUBLE, D.O.

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

Anesthesiology (License #51-01-011675 in MI)

🟢
Initial NPI Registration & Enumeration July 05, 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: 1669403903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

205 N East Ave

Jackson, MI 492011753

Phone: 5177884963

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.