MARK A. WENTWORTH M.D.
NPI 1043361967
Family Medicine in Olympia, WA

Q: What is Mark Wentworth's NPI number?

The NPI number for Mark Wentworth is 1043361967. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Q: What is Mark Wentworth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Wentworth was last updated on May 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 16, 2007PECOS Enrolled

700 LILLY RD NE, OLYMPIA, WA 98506(360) 923-7000(360) 923-7199 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark A. Wentworth M.d. NPPES

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

MARK A. WENTWORTH M.D. (NPI 1043361967) is an individual family medicine provider in Olympia, Washington, licensed in Washington (MD00042634) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043361967

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK A. WENTWORTHCredential: M.D.

Location Address700 LILLY RD NEOlympia, WA 98506-5115

Mailing AddressPo Box 34584Seattle, WA 98124-1584 · (509) 241-7349 · Fax (509) 241-7628

Phone(360) 923-7000

Fax(360) 923-7199

Sole ProprietorNo

Enumeration DateJanuary 16, 2007

Last NPPES UpdateMay 8, 2008

✔ NPI 1043361967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD00042634

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.

700 LILLY RD NE, Olympia, WA 98506

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Other Identifiers 8

Medicare PING8872574WA

Medicare PING8805563WA

Medicare PING8805559WA

Medicare PING8805561WA

Medicare UPINC23346WA

Medicaid8371551WA

Medicare PING8805565WA

Medicare PING8805567WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark A. Wentworth M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

AMIHAN A FERRER M.D.

Family Medicine