Active NPI 1982662102 Individual Practitioner Male Practitioner

Dr. Mark L Donaldson , MD

Dermatology • Provo, UT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Donaldson, MD is a certified Dermatology practicing in Provo, UT. With approximately 48 years of clinical experience since graduating from University Of Utah School Of Medicine in 1978, Dr. Donaldson delivers high-quality medical care to the local community at 2976 CHEROKEE LN STE 111.

Dr. Donaldson is affiliated with Revere Health Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2976 Cherokee Ln Ste 111

Provo, UT 846044356

Telephone 8016877575

Medicare Profile & Education

Medical School

University Of Utah School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Provo, UT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +20.6 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

8 Specialists

Practicing in Provo, UT (184 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Donaldson (48 Years) 48 Yrs

Provo Specialty Average (27.4 Years) 27.4 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
17003 Destruction of precancer skin growth, 2-14 growths	1,625	280	$19.00	$6.19
99213 Established patient office or other outpatient visit, typically 15 minutes	593	425	$152.79	$86.23
17000 Destruction of skin growth	486	352	$126.00	$54.22
88305 Pathology examination of tissue using a microscope, intermediate complexity	149	105	$148.00	$67.15
17110 Destruction of up to 14 skin growths	112	102	$216.00	$104.39
11102 Tangential biopsy of single skin lesion	95	88	$193.00	$87.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$187.69	$105.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$215.45	$121.78
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	21	16	$235.00	$94.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$94.90	$53.44
11103 Biopsy of related skin growth, each additional growth	16	11	$103.00	$47.00
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	14	14	$340.00	$161.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,762	306	$19.00	$6.29
99213 Established patient office or other outpatient visit, typically 15 minutes	633	452	$149.85	$85.64
17000 Destruction of skin growth	547	390	$126.00	$56.37
88305 Pathology examination of tissue using a microscope, intermediate complexity	158	107	$148.00	$67.29
11102 Tangential biopsy of single skin lesion	88	79	$193.00	$92.16
17110 Destruction of up to 14 skin growths	78	76	$216.00	$102.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	42	$93.96	$53.57
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$186.05	$106.81
88304 Pathology examination of tissue using a microscope, moderately low complexity	34	16	$85.00	$39.71
11103 Biopsy of related skin growth, each additional growth	21	19	$103.00	$47.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$212.00	$120.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,758	311	$19.00	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	707	492	$147.95	$86.91
17000 Destruction of skin growth	527	398	$126.20	$55.50
88305 Pathology examination of tissue using a microscope, intermediate complexity	172	126	$125.21	$56.85
11102 Tangential biopsy of single skin lesion	110	105	$192.35	$93.75
17110 Destruction of up to 14 skin growths	95	85	$214.63	$106.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$187.00	$107.36
17004 Destruction of precancer skin growth, 15 or more growths	48	42	$365.00	$161.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	25	$208.92	$123.06
11103 Biopsy of related skin growth, each additional growth	22	14	$102.45	$48.76
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	21	18	$338.14	$150.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$91.94	$53.88
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	14	$235.00	$96.79
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$358.00	$167.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,562	299	$19.00	$6.17
99213 Established patient office or other outpatient visit, typically 15 minutes	629	470	$145.95	$88.07
17000 Destruction of skin growth	526	390	$132.10	$54.25
88305 Pathology examination of tissue using a microscope, intermediate complexity	178	132	$84.10	$37.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	146	$207.05	$124.00
11102 Tangential biopsy of single skin lesion	111	106	$173.70	$96.44
17110 Destruction of up to 14 skin growths	109	95	$190.73	$106.02
17004 Destruction of precancer skin growth, 15 or more growths	72	66	$365.08	$158.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$185.33	$108.43
11103 Biopsy of related skin growth, each additional growth	25	18	$90.84	$50.61
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	22	16	$207.41	$103.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$285.38	$162.55
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	13	$301.00	$158.48
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	11	11	$282.64	$152.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,136	265	$19.00	$5.70
99213 Established patient office or other outpatient visit, typically 15 minutes	686	463	$133.86	$72.58
17000 Destruction of skin growth	492	363	$132.89	$53.82
88305 Pathology examination of tissue using a microscope, intermediate complexity	203	134	$83.65	$38.22
11102 Tangential biopsy of single skin lesion	120	114	$160.00	$91.78
17110 Destruction of up to 14 skin growths	84	81	$198.86	$105.47
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$137.20	$73.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	41	$78.74	$43.34
11103 Biopsy of related skin growth, each additional growth	43	29	$86.00	$50.01
17004 Destruction of precancer skin growth, 15 or more growths	39	36	$367.00	$153.29
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	23	18	$320.87	$144.65
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	18	13	$216.56	$84.53
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$341.92	$139.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,410	406	$19.00	$5.49
99213 Established patient office or other outpatient visit, typically 15 minutes	895	561	$122.91	$72.54
17000 Destruction of skin growth	804	521	$132.00	$50.14
17110 Destruction of up to 14 skin growths	351	287	$203.41	$100.93
88305 Pathology examination of tissue using a microscope, intermediate complexity	278	197	$85.33	$39.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	177	156	$73.71	$43.94
99202 New patient office or other outpatient visit, typically 20 minutes	122	122	$126.90	$73.64
11102 Tangential biopsy of single skin lesion	112	105	$160.00	$82.18
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	57	47	$224.47	$98.56
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	32	28	$219.56	$116.27
11103 Biopsy of related skin growth, each additional growth	31	23	$86.00	$51.77
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	21	$324.41	$157.54
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	20	20	$210.30	$94.15
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	20	17	$227.00	$103.70
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	15	$352.00	$168.39
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	13	$384.07	$182.50
88304 Pathology examination of tissue using a microscope, moderately low complexity	11	11	$85.18	$36.30
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	11	11	$337.00	$176.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,614	434	$19.00	$5.12
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	2,401	12	$2.00	$1.41
99213 Established patient office or other outpatient visit, typically 15 minutes	1,092	710	$122.00	$70.46
17000 Destruction of skin growth	853	567	$132.00	$51.00
17110 Destruction of up to 14 skin growths	433	349	$180.00	$100.90
88305 Pathology examination of tissue using a microscope, intermediate complexity	253	173	$82.56	$38.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	67	$72.00	$42.37
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	71	54	$197.00	$101.62
99202 New patient office or other outpatient visit, typically 20 minutes	66	66	$124.89	$71.67
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	50	45	$183.00	$94.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$181.00	$105.32
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	29	29	$200.00	$118.02
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	25	24	$186.00	$94.66
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	24	20	$296.00	$151.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$180.00	$104.58
17004 Destruction of precancer skin growth, 15 or more growths	21	20	$367.00	$140.39
88304 Pathology examination of tissue using a microscope, moderately low complexity	20	14	$84.60	$36.13
11100 Biopsy of single growth of skin and/or tissue	20	20	$186.00	$81.45
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	19	13	$232.00	$106.98
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	18	15	$159.00	$67.94
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	14	$237.00	$134.96
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$311.00	$181.95
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	15	13	$295.00	$106.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,393	385	$9.00	$5.43
17000 Destruction of skin growth	728	486	$109.00	$51.45
99213 Established patient office or other outpatient visit, typically 15 minutes	706	503	$116.00	$70.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	340	276	$69.00	$41.83
17110 Destruction of up to 14 skin growths	339	299	$179.00	$98.31
88305 Pathology examination of tissue using a microscope, intermediate complexity	303	208	$85.81	$39.73
99202 New patient office or other outpatient visit, typically 20 minutes	90	90	$118.00	$72.14
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	85	67	$196.00	$100.38
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	45	42	$182.00	$97.65
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	31	30	$199.00	$117.33
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	31	26	$185.00	$98.42
17004 Destruction of precancer skin growth, 15 or more growths	30	25	$245.00	$144.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	26	14	$419.00	$359.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$172.00	$104.85
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	25	23	$292.00	$165.05
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	24	11	$231.00	$99.02
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	14	$347.00	$125.00
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	15	$267.00	$157.20
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	14	14	$158.00	$73.25
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	11	$233.00	$116.26
36415 Insertion of needle into vein for collection of blood sample	12	11	$10.00	$2.94

Medical Specialties & State Licenses

CMS Verified: 2026-01-19

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License UT 1678601205

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Healthcare

03-00069 (UT)

Commercial Insurance / Payer ID Palmetto Gba

070003257 (UT)

Commercial Insurance / Payer ID Emia

870281028DO1 (UT)

Commercial Insurance / Payer ID Ihc Healthplans

107006212101 (UT)

Commercial Insurance / Payer ID Dmba

4081 (UT)

Commercial Insurance / Payer ID Pehp

6603 (UT)

Commercial Insurance / Payer ID Altius

QM0000037164 (UT)

Hospital & Practice Group Affiliations

Revere Health Pc

1055 N 500, Provo, UT 846043305

Phone: 8014298000

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location January 19, 2026

Registered at 2976 CHEROKEE LN STE 111, PROVO, UT 846044356 (Tel: 8016877575)

📍

Updated Business Mailing Address January 19, 2026

Registered at 2976 CHEROKEE LN, PROVO, UT 846044356 (Tel: 8016877575)

📍

Updated Business Mailing Address October 24, 2018

Registered at 1055 N 500 W, CREDENTIALING DEPARTMENT, PROVO, UT 846043305 (Tel: 8013548225)

✅

NPI Profile Active June 09, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 09, 2009

Registered at 1055 N 500 W, SUITE 111, PROVO, UT 846043305 (Tel: 8013748999)

📍

Updated Business Mailing Address June 09, 2009

Registered at 1055 N 500 W, CREDENTIALINT DEPARTMENT, PROVO, UT 846043305 (Tel: 8013548225)

👤

Provider Name / Credentials Updated June 09, 2009

Recorded as MARK DONALDSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2009

Dermatology (License #1678601205 in UT)

🟢

Initial NPI Registration & Enumeration May 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982662102

Entity Type:

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

Enumeration Date: May 04, 2006

Last Update: January 19, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2976 Cherokee Ln

Provo, UT 846044356

Phone: 8016877575

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.