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MARK EDWARD VAN WORMER MD
NPI 1013919034
General Practice in Clayton, NM

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
75.07/100
CMS Quality Rating
314 N 3RD AVE, CLAYTON, NM 88415(575) 374-8313(575) 374-2064 Get Directions Write a Review

NPPES record last updated: July 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Edward Van Wormer Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK EDWARD VAN WORMER MD (NPI 1013919034) is an individual general practice provider in Clayton, New Mexico, licensed in New Mexico (81333) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Union County General Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1013919034
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMARK EDWARD VAN WORMERCredential: MD
Location Address314 N 3RD AVEClayton, NM 88415-3302
Mailing Address314 N 3rd AveClayton, NM 88415-3302 · (575) 374-8313 · Fax (575) 374-2064
Phone(575) 374-8313
Fax(575) 374-2064
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 15, 2009
✔ NPI 1013919034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NM · 81333
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
314 N 3RD AVE, Clayton, NM 88415
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Other Identifiers 5

Medicare UPIND43339
Medicare OSCAR/certification323849NM
Other060000475Railroad Medicare
Medicare PIN2130903NM
Medicaid05645NM

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Edward Van Wormer Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183785041
PECOS Enrollment IDI20081210000801
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union County General Hospital

Critical Access Hospitals · Clayton, NM
OwnershipGovernment - Local
CMS Certification Number321304
Location300 Wilson StreetClayton, NM 88415 · Union County
Emergency services

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers32 claims138 services$5.95 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers17 claims17 services$2.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers20 claims57 services$1.13 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers41 claims41 services$113.16 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers25 claims25 services$33.69 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers48 claims48 services$195.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAYTON HEALTH SYSTEMS, INC
Clinic/Center (Rural Health)
314 N 3RD AVE
CLAYTON, NM 88415
Union County (575) 374-2273
CLAYTON HEALTH SYSTEMS INC
Clinic/Center (Critical Access Hospital)
314 N 3RD AVE
CLAYTON, NM 88415
Union County (505) 374-2273
NILO ISIDRO RIVERA MD
Internal Medicine
314 N 3RD AVE
CLAYTON, NM 88415
Union County (575) 374-8313

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Van Wormer's NPI number?

The NPI number for Mark Van Wormer is 1013919034. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Mark Van Wormer located?

Mark Van Wormer practices at 314 N 3rd Ave, Clayton, NM 88415. The listed phone number is (575) 374-8313.

What is Mark Van Wormer's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mark Van Wormer enrolled in Medicare?

Yes. Mark Van Wormer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark Van Wormer affiliated with any hospitals?

According to CMS data, Mark Van Wormer is affiliated with Union County General Hospital and Bsa Hospital.

When was this NPI record last updated?

The NPPES record for Mark Van Wormer was last updated on July 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.