DR. MARK ARTHUR DETTELBACH M.D. NPI 1467425546

NPI Information

  • NPI: 1467425546
  • Provider Name: DR. MARK ARTHUR DETTELBACH, M.D.
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5454 WISCONSIN AVE
    SUITE 1535
    CHEVY CHASE, MD
    ZIP 20815
  • Phone: (301) 652-8847

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NPI Details

DR. Mark Arthur Dettelbach, M.D. is a plastic surgery within the head and neck otolaryngology in Chevy Chase, MD with 36 years of experience. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. DR. Mark Arthur Dettelbach, M.D. NPI is 1467425546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: YALE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

5454 WISCONSIN AVE
SUITE 1535
CHEVY CHASE, MD
ZIP 20815-901
Phone: (301) 652-8847
Fax: (301) 652-8320

The NPI 1467425546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Test for allergy using allergenic extract (HCPCS:95004)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of impacted ear wax (HCPCS:69210)
  • Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
  • Repositioning exercises of head for treatment of dizziness, each day (HCPCS:95992)
  • Evaluation and testing for balance with recording (HCPCS:92540)
  • Test to assess middle ear function (HCPCS:92567)
  • Comprehensive hearing and speech recognition test (HCPCS:92557)
  • Simple control of nose bleed (HCPCS:30901)
  • Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report (HCPCS:92653)
  • Simple removal of skin debris and drainage of mastoid cavity (HCPCS:69220)
  • Test to assess balance during warm and cool irrigation in both ears (HCPCS:92537)
  • Test or measurement for functional capacity, each 15 minutes (HCPCS:97750)
  • Vemp testing of upper and lower branches of inner ear nerve with interpretation and report (HCPCS:92519)
  • Test to assess electrical potentials generated in the inner ear as a result of sound stimulation (HCPCS:92584)

The enumeration date for this NPI number is 2/9/2006 and was last updated on 6/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistD47278MARYLANDNo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckMD21258DISTRICT OF COLUMBIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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