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Active NPI 1942249727 Individual Practitioner Male Practitioner

Dr. Mark A Dittenbir , MD

Surgery • Kalamazoo, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Dittenbir, MD is a certified Surgery practicing in Kalamazoo, MI. With approximately 42 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 1984, Dr. Dittenbir delivers high-quality medical care to the local community at 601 JOHN ST STE M283A.

Dr. Dittenbir maintains professional affiliations with St Alexius Medical Center, Lakeland Medical Practices and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 John St Ste M283a

Kalamazoo, MI 490075341

Telephone 2693497696
Fax 2694888313
Associated Practice Facility / Clinic
🏢 Healthcare Midwest Pc Facility NPI 1245451129

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Kalamazoo, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs +17.9 yrs vs City Avg
City Avg: 24.1 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
46 Specialists

Practicing in Kalamazoo, MI (1479 Statewide)

Telehealth Adoption Rate
4.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dittenbir (42 Years) 42 Yrs
Kalamazoo Specialty Average (24.1 Years) 24.1 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
45 24 $223.80 $74.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
34 33 $370.60 $124.07

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301048692

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.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License MI 4301048692

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1942249727 (MI)
Medicaid State Provider ID
3218986-10 (MI)
Commercial Insurance / Payer ID Aetna Pin
5515041
Commercial Insurance / Payer ID Bcbs Grp Pin
020C91020 (MI)
Commercial Insurance / Payer ID Bcbsm - Bronson
1417961137 (MI)
Commercial Insurance / Payer ID Great Lakes Hlth Pln
116658
Commercial Insurance / Payer ID Bcbs Ind Pin
3403901640 (MI)

Hospital & Practice Group Affiliations

St Alexius Medical Center

900 E Broadway Ave, Bismarck, ND 585014520

Phone: 7015307000

Lakeland Medical Practices

42 N Saint Joseph Ave, Niles, MI 491202203

Phone: 2694284411

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Stephen Wysong , MD

Surgery - Vascular Surgery

NPI 1013952985

Doctor of Medicine (M.D.)

Krisann Woodley , FNP-C

Nurse Practitioner - Family

NPI 1043802705

Family Nurse Practitioner (Certified)

NPI 1063616167

Doctor of Osteopathic Medicine (D.O.)

Dr. Wade Kang , MD

Surgery - Vascular Surgery

NPI 1164612453

Doctor of Medicine (M.D.)

NPI 1194761924

Doctor of Medicine (M.D.), FACS

NPI 1326086935

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 01, 2018

Registered at 601 JOHN ST STE M283A, KALAMAZOO, MI 490075341 (Tel: 2693497696)

NPI Profile Active November 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2014

Registered at 601 JOHN ST, SUITE M283A, KALAMAZOO, MI 490075341 (Tel: 2693497696)

📍
Updated Business Mailing Address November 17, 2014

Registered at 601 JOHN ST, SUITE M283A, KALAMAZOO, MI 490075341 (Tel: 2693497696)

👤
Provider Name / Credentials Updated November 17, 2014

Recorded as MARK DITTENBIR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2014

Surgery (License #4301048692 in MI)

🟢
Initial NPI Registration & Enumeration June 06, 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: 1942249727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2006
Last Update: May 01, 2018
Sole Proprietor: No

Mailing Address

601 John St, Suite M283a

Kalamazoo, MI 490075341

Phone: 2693497696

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.