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Deactivated NPI 1609810043 Deactivated / Inactive NPI Male Practitioner

Mark D. Hanson , PA-C

Physician Assistant • Corinth, NY

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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, Mark Hanson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2006
NPI Deactivation Date March 27, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Mark Hanson, PA-C was a registered Physician Assistant practicing in Corinth, NY. Throughout an active medical career spanning 14 years, Mark Hanson provided care at the practice location at 13 PALMER AVE until profile deactivation on 2020-03-27.

Historical Medicare Part B clinical services included established patient outpatient office visit, manual urinalysis test with examination using microscope, automated, detection test by immunoassay with direct visual observation for influenza virus. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

13 Palmer Ave

Corinth, NY 128221145

Telephone 5186546499
Fax 5186547303
Associated Practice Facility / Clinic
🏢 Glens Falls Hospital Inc Facility NPI 1770830291

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Corinth, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Corinth, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.3% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
70 52 $209.00 $65.03
81001 Manual urinalysis test with examination using microscope, automated
35 33 $23.00 $3.84
87804 Detection test by immunoassay with direct visual observation for influenza virus
22 11 $34.00 $16.22
99213 Established patient office or other outpatient visit, typically 15 minutes
21 19 $145.14 $42.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
12 12 $42.00 $16.20

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 001783

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.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Amy Johnson , PA

Physician Assistant

NPI 1174504385

Physician Assistant

Pamela Lusignan , NP

Nurse Practitioner - Adult Health

NPI 1619982436

Nurse Practitioner

NPI 1841584489

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 27, 2020

Record deactivated on March 27, 2020

NPI Profile Active November 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location November 24, 2015

Registered at 13 PALMER AVE, CORINTH, NY 128221145 (Tel: 5186546499)

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Updated Business Mailing Address November 24, 2015

Registered at PO BOX 304, ADIRONDACK MEDICAL SERVICES, GLENS FALLS, NY 128010304 (Tel: 5189266992)

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Provider Name / Credentials Updated November 24, 2015

Recorded as MARK HANSON, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2015

Physician Assistant (License #001783 in NY)

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Initial NPI Registration & Enumeration June 16, 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: 1609810043
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: November 24, 2015
Deactivation Date: March 27, 2020

Mailing Address

Po Box 304, Adirondack Medical Services

Glens Falls, NY 128010304

Phone: 5189266992

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.