DR. MARK T WILT DPM
NPI 1053580696
Podiatrist - Foot & Ankle Surgery in Princeton, WV

Q: What is Mark Wilt's NPI number?

The NPI number for Mark Wilt is 1053580696. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Q: What is Mark Wilt's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wilt was last updated on October 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 February 28, 2008PECOS Enrolled

75/100

CMS Quality Rating

401 ROGERS ST, PRINCETON, WV 24740(304) 487-9442(330) 629-9181 Get Directions Write a Review

NPPES record last updated: October 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Mark T Wilt Dpm NPPES

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

DR. MARK T WILT DPM (NPI 1053580696) is an individual foot & ankle surgery provider in Princeton, West Virginia, licensed in Virginia (0103301014) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053580696

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. MARK T WILTCredential: DPM

Location Address401 ROGERS STPrinceton, WV 24740-3636

Mailing AddressPo Box 365Prosperity, WV 25909-0365 · (800) 292-3008 · Fax (330) 629-9181

Phone(304) 487-9442

Fax(330) 629-9181

Sole ProprietorNo

Enumeration DateFebruary 28, 2008

Last NPPES UpdateOctober 1, 2009

✔ NPI 1053580696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

Licenses✔ Licensed in VA · 0103301014✔ Licensed in WV · 10402

Also ListedPodiatristTaxonomy 213E00000X · License 36-003486 (OH), 0103301014 (VA), 10402 (WV)

401 ROGERS ST, Princeton, WV 24740

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Other Identifiers 5

Medicare PIN020130T55VA

OtherP00733598Railroad Medicare

Medicaid1053580696VA

Medicaid3810015482WV

Medicare PIN4240974WV

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark T Wilt Dpm 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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

3 suppliers53 claims104 services$61.26 avg. paid by Medicare

For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514

DME-Orthotic Devices · category DF000N

2 suppliers51 claims293 services$37.34 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

2 suppliers20 claims20 services$239.80 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 9

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

DR. BRADLEY HENRY HOFFMAN DPM

Podiatrist (Foot & Ankle Surgery)