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Dr. Mark Double , DO

Anesthesiology • Jackson, MI

Active NPI 1669403903 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

205 N East Ave
Jackson, MI 492011753

Call 5177884963 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884963
Fax 5177895903
Organization at the Same NPPES Address or Phone
Jackson Radiology Consultants, P C Facility NPI 1295736015

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 3 distinct group names: Anesthesia Associates Of Ann Arbor Pllc; Huron Gastroenterology Associates P.C.; W. A. Foote Memorial Hospital, Inc.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

1992

Medicare patients

225 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $13,615 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $11,331 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $13.00 in 2021

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2021.

Guide: How to read an Open Payments record

Years since graduation

34 years (graduated 1992)

CMS Doctors and Clinicians data list 1992 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Double has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Double as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 70% of clinicians listed under Anesthesiology in Jackson, MI (2024, 23 clinicians with data). Median for this group: 145. Middle half: 89 to 217.

More Medicare Part B services than 75% of clinicians listed under Anesthesiology in Michigan (2024, 934 clinicians with data). Median for this group: 107. Middle half: 50 to 197.

Medicare-allowed amount

Close to the middle for clinicians listed under Anesthesiology in Jackson, MI (2024, 23 clinicians with data). Median for this group: $15,233. Middle half: $6,405 to $17,799.

Close to the middle for clinicians listed under Anesthesiology in Michigan (2024, 934 clinicians with data). Median for this group: $10,633. Middle half: $4,266 to $19,324.

Paid by Medicare

Close to the middle for clinicians listed under Anesthesiology in Jackson, MI (2024, 23 clinicians with data). Median for this group: $11,984. Middle half: $5,192 to $14,069.

A higher Medicare payment amount than 60% of clinicians listed under Anesthesiology in Michigan (2024, 934 clinicians with data). Median for this group: $8,564. Middle half: $3,363 to $15,318.

29 active clinicians are listed under Anesthesiology with a practice address in Jackson, MI (1,721 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

3.4% of these 29 clinicians have the CMS telehealth indicator.

86.2% of these 29 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2021

Program year 2021 (payments made January 1 – December 31, 2021): fewer than 11 records totaling $13.00.

Manufacturer Payment Nature Product Type Amount ($)
Merck Sharp & Dohme Corporation
Food and Beverage
In-kind items and services
BRIDION General $13.00

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
00811 Anesthesia for other procedure on large bowel using an endoscope
88 88 $601.36 $64.14
00731 Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope
70 68 $875.71 $67.64
00812 Anesthesia for exam of colon using an endoscope
31 31 $426.45 $47.50
00813 Anesthesia for procedure on small and large bowel using an endoscope
21 21 $991.90 $83.98

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Anesthesiology Primary Specialty

NUCC Taxonomy Code: 207L00000X

License # reported to NPPES MI 51-01-011675

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
4586940 (MI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - ANESTHESIOLOGY

Medicare Enrollment ID

I20040405001180

Enrollment State Jurisdiction

MI

PECOS Control ID

1052304284

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Huron Gastroenterology Associates P.c.

5300 Elliott Dr, Ypsilanti, MI 481978632

Phone: 7344346262

Anesthesia Associates Of Ann Arbor Pllc

2006 Hogback Rd, Ann Arbor, MI 481059750

W. A. Foote Memorial Hospital, Inc.

205 N E Ave, Jackson, MI 492011753

Anesthesia Associates Of Ann Arbor Pllc

5301 E Huron River Dr, Ypsilanti, MI 481971051

Phone: 7347123456

Anesthesia Associates Of Ann Arbor Pllc

5301 Mcauley Dr, Ypsilanti, MI 481971051

Phone: 7347123456

W. A. Foote Memorial Hospital, Inc.

205 S E Ave, Jackson, MI 492012413

Phone: 5172052103

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
James Brown , CRNA

Nurse Anesthetist, Certified Registered

NPI 1932292596

Certified Registered Nurse Anesthetist

Nicholas Camilleri

Nurse Anesthetist, Certified Registered

NPI 1114457991
Mark Combs , CRNA

Nurse Anesthetist, Certified Registered

NPI 1508950064

Certified Registered Nurse Anesthetist

Heather Corcoran , CRNA

Nurse Anesthetist, Certified Registered

NPI 1609983527

Certified Registered Nurse Anesthetist

Ruth Deilus , CRNA

Nurse Anesthetist, Certified Registered

NPI 1093885071

Certified Registered Nurse Anesthetist

Shawn Hines , CRNA

Nurse Anesthetist, Certified Registered

NPI 1518067545

Certified Registered Nurse Anesthetist

Career & Practice History

NPI enumerated July 05, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1669403903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Other Anesthesiology Specialists in Jackson

All Anesthesiology Specialists in Jackson

Mailing Address

205 N East Ave

Jackson, MI 492011753

Phone: 5177884963

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.