DR. MARK R DEBUSE M.D.
NPI 1043449408
Emergency Medicine in Bethesda, MD
NPI Status: Active since July 07, 2009
Contact Information
8901 ROCKVILLE PIKE
BETHESDA, MD
ZIP 20889
Phone: (301) 295-4196
- Individual
- Male
- Years of Experience 17
- Emergency Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MARK DEBUSE
This page provides the complete NPI Profile along with additional information for Mark Debuse, a provider established in Bethesda, Maryland with a medical specialization in Emergency Medicine and more than 17 years of experience. He graduated from Georgetown University School Of Medicine in 2009. The healthcare provider is registered in the NPI registry with number 1043449408 assigned on July 2009. The practitioner's primary taxonomy code is 207P00000X with license number D0094143 (MD). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1043449408
- Provider Name
- DR. MARK R DEBUSE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8901 ROCKVILLE PIKE BETHESDA, MD 20889
- Location Phone
- (301) 295-4196
- Mailing Address
- 20 LINDEN AVE ANNAPOLIS, MD 21401
- Mailing Phone
- (410) 279-5316
- Medical School Name
- GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2009
- Last Update Date
- 08-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0094143
- License State
- MD
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 0101248073 (VA) |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | DR.0060619 (CO) |
Medicare Participation & PECOS Enrollment Status
Mark Debuse is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mark Debuse is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8123269651
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20220915000814
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $25.07 for a new patient copayment and $28.43 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20889 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $100.31
- Minimum New Patient Price $65.18
- Maximum New Patient Price $194.86
- Average New Patient Copayment $25.07
- Minimum New Patient Copayment $16.29
- Maximum New Patient Copayment $48.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $113.72
- Minimum Established Patient Price $21.4
- Maximum Established Patient Price $158.88
- Average Established Patient Copayment $28.43
- Minimum Established Patient Copayment $5.35
- Maximum Established Patient Copayment $39.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 4 | 3 | 4 | 4 | 9 | 4 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 8 | 3 | 8 | 4 | 18 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 8 + 3 + 8 + 4 + 1 + 8 + 4 + 0 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1043449408 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871594291 | WILLIAM H.J. HAFFNER M.D. Individual | Obstetrics & Gynecology | 8901 ROCKVILLE PIKE OBG NNMC BETHESDA, MD 20889 (301) 295-4390 |
| 1942288360 | DR. BRIAN HUNTINGTON HALL M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 8901 ROCKVILLE PIKE BUILDING 10, 6TH FLOOR (NICU) BETHESDA, MD 20889 (301) 319-4691 |
| 1538148143 | DR. MICHAEL PATRICK MCNALLY MD Individual | Surgery | 8901 ROCKVILLE PIKE DEPARTMENT OF SURGERY BETHESDA, MD 20889 (301) 295-2420 |
| 1912969098 | KASSANDRA MERKER M.D. Individual | Pediatrics | 8901 ROCKVILLE PIKE PEDIATRICS - NNMC BETHESDA, MD 20889 (301) 295-4941 |
| 1679536908 | DANIEL HEBERT MD Individual | Orthopaedic Surgery (Sports Medicine) | 8901 ROCKVILLE PIKE DEPARTMENT OF ORTHPAEDIC SURGERY BETHESDA, MD 20889 (571) 477-0190 |
| 1851348080 | TANYA MARIE WROBLEWSKI MD Individual | Internal Medicine (Hematology & Oncology) | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 319-7768 |
| 1316047699 | DR. KAREN MARY FARIZO M.D. Individual | Pediatrics | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-4941 |
| 1073694972 | PATRICIA M SMITH PA-C Individual | Physician Assistant (Medical) | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-4420 |
| 1417038803 | JOHN KEELING Organization | Neuromusculoskeletal Medicine, Sports Medicine | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-0730 |
| 1467526152 | DR. DUANE CARL CANEVA MD Individual | Emergency Medicine | 8901 ROCKVILLE PIKE DEPT OF EMERGENCY MEDICINE BETHESDA, MD 20889 (301) 295-4749 |
| 1124187448 | DR. WYATT S SMITH D.O. Individual | Internal Medicine (Hematology & Oncology) | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-4810 |
| 1336204635 | DR. DAVID ALDEN WEIS MD Individual | Psychiatry & Neurology (Psychiatry) | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-0500 |
| 1851446827 | MR. SAMUEL PRIAGOLA Individual | Military Health Care Provider (Independent Duty Corpsman) | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-1565 |
| 1497801260 | DR. MARY ELIZABETH MANISCALCO-THEBERGE M.D. Individual | Surgery | 8901 ROCKVILLE PIKE DEPARTMENT OF SURGERY, NATIONAL NAVAL MEDICAL CENTER BETHESDA, MD 20889 (301) 295-0290 |
| 1477696003 | DR. REBECCA CHASON M.D. Individual | Obstetrics & Gynecology | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-2048 |
| 1518000173 | DR. LANA SHIU M.D. Individual | Internal Medicine | 8901 ROCKVILLE PIKE INTERNAL MEDICINE CLINIC BETHESDA, MD 20889 (301) 319-8238 |
| 1700920246 | DR. WILLIAM FREDERICK ANDERSON M.D. Individual | Specialist | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 319-4789 |
| 1508985300 | DR. MARY JEAN HERDEN MD Individual | Pediatrics | 8901 ROCKVILLE PIKE NATIONAL NAVAL MEDICAL CENTER BETHESDA, MD 20889 (410) 631-7461 |
| 1285828822 | DR. BENEDICT ARTHUR BAIDOO PHARMD. Individual | Pharmacist | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 319-4217 |
| 1649454398 | DR. DANIEL PELTON PHD Individual | Psychologist (Clinical) | 8901 ROCKVILLE PIKE BETHESDA, MD 20889 (301) 295-4611 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043449408, enumerated in the NPI registry as an "individual" on July 07, 2009
The provider is located at 8901 Rockville Pike Bethesda, Md 20889 and the phone number is (301) 295-4196
The provider's speciality is Emergency Medicine with taxonomy code 207P00000X
The provider has more than 17 years of experience. He graduated from Georgetown University School Of Medicine in 2009.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $100.31 with an average copayment of $25.07 for new patient appointments. Established patients should expect a typical charge of $113.72 and an average copayment of 28.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 07, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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