Active NPI 1073604609 Individual Practitioner Male Practitioner

Dr. Mark C Sanderson , MD

Surgery - Plastic and Reconstructive Surgery • American Fork, UT

Professional Overview & Biography Verified Profile Summary

Dr. Mark Sanderson, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in American Fork, UT. Practice services are available at 1184 E 80 N under active NPI credentials.

Frequently performed procedures and clinical services include x-ray of finger, minimum of 2 views, established patient outpatient office visit, new 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

1184 E 80 N

American Fork, UT 840032906

Telephone 8017633885

Fax 8017633887

Associated Practice Facility / Clinic

🏢 Human Performance Institute Pc Facility NPI 1053478826

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in American Fork, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

1 Specialists

Practicing in American Fork, UT (21 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.6% 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 (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73140 X-ray of finger, minimum of 2 views	61	34	$109.90	$35.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	32	$94.00	$53.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$186.11	$104.66
26055 Incision of tendon covering	23	21	$1242.61	$547.85
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$149.82	$86.12
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$120.00	$68.70
29848 Release of wrist ligament using an endoscope	14	12	$1303.43	$526.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73140 X-ray of finger, minimum of 2 views	33	23	$106.85	$35.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$286.14	$160.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$186.89	$107.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$208.80	$122.92
26055 Incision of tendon covering	21	17	$1228.00	$503.33
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$147.94	$86.76
29848 Release of wrist ligament using an endoscope	13	13	$1758.23	$510.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73140 X-ray of finger, minimum of 2 views	38	22	$104.82	$35.24
99213 Established patient office or other outpatient visit, typically 15 minutes	38	34	$144.79	$88.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$184.93	$108.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$91.00	$54.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$206.50	$125.41
26055 Incision of tendon covering	21	19	$1228.00	$558.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$283.38	$162.55
36415 Insertion of needle into vein for collection of blood sample	15	15	$10.00	$3.00
80048 Blood test, basic group of blood chemicals (calcium, total)	14	14	$18.00	$8.46
29848 Release of wrist ligament using an endoscope	11	11	$1769.36	$541.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99201 New patient office or other outpatient visit, typically 10 minutes	70	70	$81.74	$44.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$80.75	$43.92
73140 X-ray of finger, minimum of 2 views	42	24	$96.52	$33.43
26055 Incision of tendon covering	26	23	$1225.23	$507.57
36415 Insertion of needle into vein for collection of blood sample	14	14	$10.00	$2.98
29848 Release of wrist ligament using an endoscope	11	11	$1547.18	$597.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	104	77	$73.73	$43.64
99201 New patient office or other outpatient visit, typically 10 minutes	93	93	$74.70	$44.71
73140 X-ray of finger, minimum of 2 views	64	36	$90.94	$29.98
29848 Release of wrist ligament using an endoscope	29	27	$1291.34	$544.20
26055 Incision of tendon covering	22	19	$1210.00	$474.91
26055 Incision of tendon covering	17	15	$1211.06	$255.44
36415 Insertion of needle into vein for collection of blood sample	17	17	$10.00	$2.94
73130 X-ray of hand, minimum of 3 views	15	11	$91.33	$30.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	123	80	$72.00	$42.08
99201 New patient office or other outpatient visit, typically 10 minutes	76	76	$73.00	$43.15
73140 X-ray of finger, minimum of 2 views	63	44	$88.00	$29.55
26055 Incision of tendon covering	28	21	$1228.00	$256.24
36415 Insertion of needle into vein for collection of blood sample	28	27	$10.00	$2.94
29848 Release of wrist ligament using an endoscope	25	24	$1371.60	$571.84
73130 X-ray of hand, minimum of 3 views	21	14	$87.00	$28.70
80048 Blood test, basic group of blood chemicals (calcium, total)	17	17	$18.00	$10.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	78	59	$69.00	$41.87
73140 X-ray of finger, minimum of 2 views	75	35	$86.00	$28.17
99201 New patient office or other outpatient visit, typically 10 minutes	69	69	$69.00	$41.30
26055 Incision of tendon covering	31	22	$1083.00	$235.64
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$118.00	$72.14
29848 Release of wrist ligament using an endoscope	24	24	$1282.50	$521.07
73130 X-ray of hand, minimum of 3 views	24	15	$85.00	$29.10
36415 Insertion of needle into vein for collection of blood sample	24	22	$10.00	$2.94
80048 Blood test, basic group of blood chemicals (calcium, total)	18	17	$20.00	$11.37
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$32.00	$19.20
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$116.00	$70.45

Medical Specialties & State Licenses

CMS Verified: 2020-01-30

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License UT 187115-1205

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License UT 187115-1205

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Orthopaedic Surgery - Hand Surgery

NUCC Taxonomy Code: 207XS0106X

State License UT 187115-1205

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

870281028000 (UT)

Commercial Insurance / Payer ID United Healthcare

13-00081 (UT)

Commercial Insurance / Payer ID Altius

215832 (UT)

Commercial Insurance / Payer ID Dmba

54270 (UT)

Commercial Insurance / Payer ID Emia

870281028SAN (UT)

Commercial Insurance / Payer ID Pehp

79371 (UT)

Commercial Insurance / Payer ID Ihc

107005288103 (UT)

Commercial Insurance / Payer ID Palmetto

P00167990 (UT)

Practice Associates & Co-Workers

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

12 Associated Practitioners

Andrew Ward , PA

Physician Assistant

NPI 1093138976

Physician Assistant

Dr. Michael Callahan , MD

Orthopaedic Surgery

NPI 1104864651

Doctor of Medicine (M.D.)

Dr. Alan Banks , MD

Orthopaedic Surgery

NPI 1275553612

Doctor of Medicine (M.D.)

Robert Sumpter , PA-C

Physician Assistant

NPI 1316064421

Physician Assistant (Certified)

Kendra Parker

Physician Assistant - Surgical

NPI 1447209473

Christopher Wilcox , PA

Physician Assistant

NPI 1457860934

Physician Assistant

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2023

Plastic Surgery (License #187115-1205 in UT)

✅

NPI Profile Active January 05, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 05, 2010

Registered at 1184 E 80 N, AMERICAN FORK, UT 840032906 (Tel: 8017633885)

📍

Updated Business Mailing Address January 05, 2010

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8014298000)

👤

Provider Name / Credentials Updated January 05, 2010

Recorded as MARK SANDERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2010

Orthopaedic Surgery (License #187115-1205 in UT)

🟢

Initial NPI Registration & Enumeration September 27, 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: 1073604609

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2006

Last Update: November 27, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1055 N 500 W, Credentialing Department

Provo, UT 846043305

Phone: 8013548225

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.