MARK WESTHOLDER
NPI 1023095775
Family Medicine in Shakopee, MN

Active since December 23, 2005PECOS EnrolledAccepts Medicare Assignment
1415 SAINT FRANCIS AVE, SHAKOPEE, MN 55379(952) 993-7800 Get Directions Write a Review

NPPES record last updated: March 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mark Westholder NPPES

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

MARK WESTHOLDER (NPI 1023095775) is an individual family medicine provider in Shakopee, Minnesota, licensed in Minnesota (40836) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of University Of Minnesota Medical School (1997).

NPPES Registry Identity

NPI1023095775
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK WESTHOLDER
Location Address1415 SAINT FRANCIS AVEShakopee, MN 55379-3374
Mailing Address3800 Park Nicollet Blvd, CredentialingMinneapolis, MN 55416-2527
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1997
Enumeration DateDecember 23, 2005
Last NPPES UpdateMarch 8, 2012
NPI 1023095775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 40836
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1415 SAINT FRANCIS AVE, Shakopee, MN 55379

Accepted Insurance

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 Westholder 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 ID8527094176
PECOS Enrollment IDI20050714000520
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
292 services133 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services136 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
126 services105 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
120 services102 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
100 services100 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
96 services92 patients

Hospital Affiliations CMS Care Compare 2

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

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
10 suppliers27 claims60 services$5.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims11 services$0.62 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
3 suppliers31 claims31 services$194.16 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 20

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

Pediatrics
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Pediatrics
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Pediatrics
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Obstetrics & Gynecology
1415 SAINT FRANCIS AVE, SUITE 200
SHAKOPEE, MN 55379
Nurse Practitioner
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Family Medicine
1415 SAINT FRANCIS AVE
SHAKOPEE, MN 55379
Nurse Anesthetist, Certified Registered
1415 SAINT FRANCIS AVE, ANESTHESIOLOGY
PRIOR LAKE, MN 55379

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 Westholder's NPI number?

The NPI number for Mark Westholder is 1023095775. It was assigned to this individual provider in the NPPES registry on December 23, 2005.

Where is Mark Westholder located?

Mark Westholder practices at 1415 Saint Francis Ave, Shakopee, MN 55379. The listed phone number is (952) 993-7800.

What is Mark Westholder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Westholder enrolled in Medicare?

Yes. Mark Westholder 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.

What insurance does Mark Westholder accept?

Health plans from HealthPartners list Mark Westholder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mark Westholder affiliated with any hospitals?

According to CMS data, Mark Westholder is affiliated with Park Nicollet Methodist Hospital and St Francis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Westholder was last updated on March 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.