Active NPI 1801892260 Individual Practitioner Male Practitioner

Dr. Mark J. Doherty , MD

Dermatology • Bellingham, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Doherty, MD is a certified Dermatology practicing in Bellingham, WA. With approximately 44 years of clinical experience since graduating from Creighton University School Of Medicine in 1982, Dr. Doherty delivers high-quality medical care to the local community at 1151 ELLIS ST STE 202.

Dr. Doherty is affiliated with Silver Falls Dermatology Llc 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

1151 Ellis St Ste 202

Bellingham, WA 982255245

Telephone 3607462380

Fax 3607462382

Associated Practice Facility / Clinic

🏢 M J Doherty Pllc Facility NPI 1598137820

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Bellingham, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs +17.0 yrs vs City Avg

City Avg: 27.0 Yrs

State Avg: 19.7 Yrs

Regional Practice Density

14 Specialists

Practicing in Bellingham, WA (397 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Doherty (44 Years) 44 Yrs

Bellingham Specialty Average (27.0 Years) 27.0 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	2,594	391	$12.99	$7.01
99213 Established patient office or other outpatient visit, typically 15 minutes	679	536	$176.34	$93.81
17000 Destruction of skin growth	524	445	$131.12	$59.06
17004 Destruction of precancer skin growth, 15 or more growths	227	182	$321.99	$175.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	156	$110.65	$58.51
11102 Tangential biopsy of single skin lesion	155	140	$205.87	$93.14
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	143	119	$1321.71	$619.30
17110 Destruction of up to 14 skin growths	139	127	$224.24	$118.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$215.79	$114.64
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	62	45	$816.16	$432.24
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	59	54	$610.21	$173.15
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$137.92	$73.39
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	36	23	$351.05	$161.06
11103 Biopsy of related skin growth, each additional growth	31	21	$101.06	$52.64
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	30	$625.60	$227.98
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	18	18	$1408.84	$632.88
69100 Biopsy of ear	18	17	$201.24	$77.74
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	16	$552.90	$175.88
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	13	$678.59	$208.86
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	14	14	$1593.69	$800.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$279.50	$133.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,813	427	$12.00	$6.93
99213 Established patient office or other outpatient visit, typically 15 minutes	645	512	$161.00	$91.40
17000 Destruction of skin growth	561	478	$120.93	$57.53
17004 Destruction of precancer skin growth, 15 or more growths	238	185	$297.00	$174.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	162	150	$101.96	$57.49
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	161	129	$1218.33	$607.96
11102 Tangential biopsy of single skin lesion	160	145	$187.00	$96.85
17110 Destruction of up to 14 skin growths	119	110	$205.98	$114.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	99	99	$199.88	$113.34
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	88	55	$741.73	$424.75
99202 New patient office or other outpatient visit, typically 20 minutes	69	69	$136.00	$72.78
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	50	42	$568.92	$163.65
11103 Biopsy of related skin growth, each additional growth	39	32	$96.00	$52.01
69100 Biopsy of ear	34	30	$181.00	$79.10
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	29	24	$320.97	$168.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	26	26	$555.00	$193.19
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	23	21	$512.00	$165.83
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	17	17	$1394.00	$784.07
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	16	16	$1145.00	$615.04
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	13	$267.00	$142.66
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	13	$559.00	$171.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$229.00	$129.40
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	11	$914.00	$255.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,804	414	$12.00	$7.03
99213 Established patient office or other outpatient visit, typically 15 minutes	681	529	$161.00	$92.00
17000 Destruction of skin growth	569	466	$119.00	$57.99
17004 Destruction of precancer skin growth, 15 or more growths	225	175	$297.00	$174.23
11102 Tangential biopsy of single skin lesion	163	153	$187.00	$96.10
17110 Destruction of up to 14 skin growths	157	144	$205.00	$114.59
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	140	128	$1210.00	$592.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	135	122	$100.00	$57.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$198.00	$113.50
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	88	61	$736.00	$422.02
99202 New patient office or other outpatient visit, typically 20 minutes	70	70	$136.00	$73.42
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	53	51	$568.00	$176.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	35	$555.00	$229.21
11103 Biopsy of related skin growth, each additional growth	33	24	$96.00	$52.97
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	32	28	$320.00	$175.58
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1394.00	$780.31
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	18	17	$1136.00	$559.49
69100 Biopsy of ear	17	16	$181.00	$85.33
11104 Punch biopsy, first skin growth	16	16	$234.00	$128.17
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	14	$266.00	$141.48
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	13	12	$780.00	$271.87
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$559.00	$220.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,806	400	$11.95	$6.79
99213 Established patient office or other outpatient visit, typically 15 minutes	635	463	$159.72	$93.12
17000 Destruction of skin growth	567	448	$119.00	$55.73
17004 Destruction of precancer skin growth, 15 or more growths	257	199	$296.09	$171.88
11102 Tangential biopsy of single skin lesion	193	166	$186.89	$99.02
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	168	128	$1209.35	$608.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	164	164	$197.76	$114.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	147	$99.51	$57.53
17110 Destruction of up to 14 skin growths	151	137	$204.12	$114.41
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	107	66	$734.88	$420.75
11103 Biopsy of related skin growth, each additional growth	63	49	$96.00	$55.06
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	53	49	$566.49	$164.73
99202 New patient office or other outpatient visit, typically 20 minutes	48	48	$136.00	$74.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	28	$554.71	$223.85
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	23	21	$1136.00	$529.84
69100 Biopsy of ear	22	21	$181.00	$86.64
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	16	$265.76	$149.64
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	16	$557.81	$182.27
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	15	15	$512.00	$170.36
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	13	$320.00	$160.73
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1394.00	$789.03
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	11	$863.00	$269.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,399	375	$10.00	$6.22
99213 Established patient office or other outpatient visit, typically 15 minutes	571	451	$132.00	$76.63
17000 Destruction of skin growth	521	418	$119.00	$54.90
17004 Destruction of precancer skin growth, 15 or more growths	260	203	$280.66	$163.61
11102 Tangential biopsy of single skin lesion	187	156	$179.04	$93.03
17110 Destruction of up to 14 skin growths	153	133	$201.00	$113.37
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	149	122	$1200.00	$572.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	127	$80.00	$46.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$193.00	$110.03
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	99	59	$714.75	$412.38
99202 New patient office or other outpatient visit, typically 20 minutes	73	73	$136.00	$77.78
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	55	50	$544.95	$166.79
11103 Biopsy of related skin growth, each additional growth	32	25	$96.00	$55.01
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	28	26	$547.00	$212.45
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	20	18	$1122.00	$531.88
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	20	16	$261.20	$128.32
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	19	19	$1394.00	$794.84
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	13	$775.00	$254.74
69100 Biopsy of ear	14	13	$181.00	$79.86
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	11	11	$486.82	$153.94
17111 Destruction of skin growth, 15 or more growths	11	11	$250.00	$135.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,766	401	$10.00	$5.73
99213 Established patient office or other outpatient visit, typically 15 minutes	638	469	$131.91	$75.24
17000 Destruction of skin growth	582	441	$119.00	$56.13
17004 Destruction of precancer skin growth, 15 or more growths	278	199	$272.75	$154.32
11102 Tangential biopsy of single skin lesion	198	179	$177.00	$93.24
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	180	140	$1199.35	$606.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	163	134	$79.96	$45.46
17110 Destruction of up to 14 skin growths	127	116	$201.00	$110.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$192.96	$109.90
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	97	56	$711.20	$406.52
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$135.88	$76.80
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	73	64	$539.25	$158.39
11103 Biopsy of related skin growth, each additional growth	51	42	$96.00	$53.03
69100 Biopsy of ear	34	29	$181.00	$76.40
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	25	23	$1122.00	$499.60
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	24	24	$546.75	$221.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	18	$316.91	$166.47
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	21	18	$477.00	$149.20
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	14	$530.31	$151.66
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	15	$1393.93	$769.15
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	14	$260.00	$132.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$192.92	$110.40
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	11	11	$775.00	$281.43
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$862.27	$335.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,152	419	$10.00	$5.16
17000 Destruction of skin growth	629	454	$119.00	$55.29
99213 Established patient office or other outpatient visit, typically 15 minutes	621	446	$130.00	$71.43
17004 Destruction of precancer skin growth, 15 or more growths	208	159	$266.00	$142.14
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	195	154	$1187.00	$543.05
11100 Biopsy of single growth of skin and/or tissue	183	162	$190.00	$97.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	99	$78.00	$42.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$192.00	$105.50
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	110	60	$699.00	$382.26
99202 New patient office or other outpatient visit, typically 20 minutes	107	107	$134.00	$72.57
17110 Destruction of up to 14 skin growths	105	90	$201.00	$108.77
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	63	53	$529.00	$144.71
11101 Biopsy of each additional growth of skin and/or tissue	39	24	$58.00	$32.00
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	31	$544.00	$191.37
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	35	29	$1110.00	$512.33
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	27	27	$1393.00	$762.21
69100 Biopsy of ear	26	24	$181.00	$80.34
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	17	17	$464.00	$141.98
17314 Removal and microscopic exam of growth of trunk, arms, or legs, each additional stage, 1-5 tissue blocks	17	11	$667.00	$365.11
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	17	16	$520.00	$142.15
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	15	12	$315.00	$155.70
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	13	12	$711.00	$329.25
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$855.00	$297.51
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	11	11	$1366.00	$747.35
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	11	11	$259.00	$135.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,649	372	$10.00	$5.59
17000 Destruction of skin growth	546	409	$118.00	$55.55
99213 Established patient office or other outpatient visit, typically 15 minutes	537	401	$129.00	$72.49
17311 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	203	157	$1171.00	$569.64
11100 Biopsy of single growth of skin and/or tissue	197	173	$184.00	$98.34
17004 Destruction of precancer skin growth, 15 or more growths	182	138	$266.00	$149.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	150	124	$77.00	$43.41
99202 New patient office or other outpatient visit, typically 20 minutes	119	119	$132.00	$73.56
17312 Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks	117	72	$690.00	$362.07
17110 Destruction of up to 14 skin growths	116	106	$200.00	$110.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	101	101	$190.00	$107.04
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	72	63	$520.00	$156.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	45	41	$538.00	$215.27
11101 Biopsy of each additional growth of skin and/or tissue	43	35	$58.00	$32.42
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	41	38	$457.00	$154.30
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	22	20	$1373.00	$772.05
17313 Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks	21	19	$1096.00	$542.78
69100 Biopsy of ear	16	15	$179.00	$88.11
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$842.00	$249.77
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$512.00	$156.88

Medical Specialties & State Licenses

CMS Verified: 2024-10-17

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License WA MD00020973

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.

Dermatology - MOHS-Micrographic Surgery

NUCC Taxonomy Code: 207ND0101X

State License WA MD00020973

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8180382 (WA)

Commercial Insurance / Payer ID L&i/crime Victims

0230370 (WA)

Hospital & Practice Group Affiliations

Silver Falls Dermatology Llc

1151 Ellis St, Bellingham, WA 982255245

Phone: 3607462380

Silver Falls Dermatology Llc

4407 Fairmont Ave, Port Angeles, WA 983639514

Phone: 5033628385

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location October 17, 2024

Registered at 1151 ELLIS ST STE 202, BELLINGHAM, WA 982255245 (Tel: 3607462380)

📍

Updated Business Mailing Address October 17, 2024

Registered at 1793 13TH ST SE, SALEM, OR 973022541 (Tel: 5033628385)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2024

Dermatology (License #MD00020973 in WA)

✅

NPI Profile Active January 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 26, 2017

Registered at 1151 ELLIS ST STE 202, BELLINGHAM, WA 982255203 (Tel: 3607462380)

📍

Updated Business Mailing Address January 26, 2017

Registered at 1151 ELLIS ST STE 202, BELLINGHAM, WA 982255203 (Tel: 3607462380)

👤

Provider Name / Credentials Updated January 26, 2017

Recorded as MARK DOHERTY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2017

Dermatology (License #MD00020973 in WA)

✅

NPI Profile Active November 23, 2016

NPI status registered as active in NPPES database

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Updated Practice Location November 23, 2016

Registered at 1151 ELLIS ST STE 202, BELLINGHAM, WA 982255203 (Tel: 3606710234)

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Updated Business Mailing Address November 23, 2016

Registered at 1151 ELLIS ST STE 202, BELLINGHAM, WA 982255203 (Tel: 3606710234)

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Provider Name / Credentials Updated November 23, 2016

Recorded as MARK DOHERTY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2016

Dermatology (License #MD00020973 in WA)

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Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1801892260

Entity Type:

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

Enumeration Date: June 21, 2005

Last Update: October 17, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1793 13th St Se

Salem, OR 973022541

Phone: 5033628385

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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