Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Thibert, MD

Individual provider Family Medicine Physician · NPI 1225104235

Mark Thibert, MD is a Family Practice in Prineville, Oregon. Graduated from University of Washington School of Medicine in 2000, 26 years ago. Practices with Mosaic Community Health, a 79-clinician group and accepts Medicare assignment. Licensed in Oregon, Utah and Washington.

Years since qualifying
26
Trained at
University of Washington School of Medicine
Licensed in
OR, UT, WA
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

375 NW Beaver St Ste 101
Prineville, OR 97754-1802
Phone: (541) 383-3005
Fax: (541) 383-1883
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD169232 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD169232 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 5190415-1205 (UT)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD00048052 (WA)

Record details

NPI number1225104235
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing addressPo Box 4228, Portland, OR 97208-4228

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Mosaic Community Health — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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