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Deactivated NPI 1487602520 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Dee Whitesides , DPM

Podiatrist • Austin, TX

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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 Whitesides has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 04, 2006
NPI Deactivation Date August 16, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Whitesides, DPM was a registered Podiatrist practicing in Austin, TX. Throughout an active medical career spanning 17 years, Dr. Whitesides provided care at the practice location at 5625 EIGER RD until profile deactivation on 2023-08-16.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, removal of tissue from wound, 20.0 sq cm or less. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

5625 Eiger Rd
Suite 110

Austin, TX 787358977

Telephone 5124474122
Fax 5127270505
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.2 Yrs
State Avg: 23.9 Yrs
Regional Practice Density
33 Specialists

Practicing in Austin, TX (627 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
21.1% 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 (2022)
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
17 11 $165.57 $130.65

Medical Specialties & State Licenses

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License TX 1686

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Vi Nguyen

Podiatrist

NPI 1497132401
NPI 1750722997

Doctor of Podiatric Medicine

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated August 16, 2023

Record deactivated on August 16, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2023

Podiatrist (License #1686 in TX)

NPI Profile Active April 20, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 20, 2015

Registered at 5625 EIGER RD, SUITE 110, AUSTIN, TX 787358977 (Tel: 5124474122)

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Updated Business Mailing Address April 20, 2015

Registered at 5625 EIGER RD, SUITE 110, AUSTIN, TX 787358977 (Tel: 5124474122)

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Provider Name / Credentials Updated April 20, 2015

Recorded as MARK WHITESIDES, DPM

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2015

Podiatrist (License #1686 in TX)

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Initial NPI Registration & Enumeration May 04, 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: 1487602520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2006
Last Update: April 20, 2015
Deactivation Date: August 16, 2023

Mailing Address

5625 Eiger Rd, Suite 110

Austin, TX 787358977

Phone: 5124474122

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.