MARK RICHARD WITTCHOW DMD
NPI 1083175087
Dentist - Orthodontics and Dentofacial Orthopedics in La Crosse, WI
NPI Status: Active since March 31, 2019
Contact Information
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
Phone: (608) 782-7300
- Individual
- Male
- Dentist
- Orthodontics and Dentofacial Orthopedics
- Accepts Insurance
- PECOS Enrolled
About MARK WITTCHOW
This page provides the complete NPI Profile along with additional information for Mark Wittchow, a provider established in La Crosse, Wisconsin with a medical specialization in Dentist, focusing in orthodontics and dentofacial orthopedics . The healthcare provider is registered in the NPI registry with number 1083175087 assigned on March 2019. The practitioner's primary taxonomy code is 1223X0400X with license number 6001325 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1083175087
- Provider Name
- MARK RICHARD WITTCHOW DMD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Location Phone
- (608) 782-7300
- Mailing Address
- 1836 SOUTH AVE LA CROSSE, WI 54601
- Mailing Phone
- (608) 782-7300
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-31-2019
- Last Update Date
- 09-15-2023
- Code Navigator
A dentist like Mark Wittchow is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Orthodontics and Dentofacial Orthopedics
- Taxonomy Code
- 1223X0400X
- Type
- Dental Providers
- License No.
- 6001325
- License State
- WI
- Taxonomy Description
- That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223X0400X | Dental Providers | Dentist | DDS-09955 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Delta Dental Individual and Family High Plan - PPO
- Delta Dental Individual and Family Low Plan - PPO
- Delta Dental Individual and Family Low Plan Major - PPO
- Delta Dental PPO Plus Premier Family Plan High Option - PPO
- Delta Dental PPO Plus Premier Family Plan Low Option - PPO
- Guardian Basics for Families and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
- Guardian Select for Families and Individuals - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mark Wittchow is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MARK RICHARD WITTCHOW DMD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 1 | 7 | 5 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 2 | 7 | 10 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 2 + 7 + 1 + 0 + 0 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1083175087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MICHAEL H MADER MD
Obstetrics & Gynecology
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
RICHARD J MARCHIANDO DO
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
JACQUELINE A ADSIT APNP
Nurse Practitioner
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
RENUKA R AILIANI MD
Obstetrics & Gynecology
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
DAVID G MUSGJERD MD
Radiology
(Diagnostic Radiology)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
MARY E NELSON MD
Radiology
(Diagnostic Radiology)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
JUDSON F OMANS MD
Emergency Medicine
(Emergency Medical Services)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
ARNOLD A ASP MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
DAVID D NORENBERG MD
Internal Medicine
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
NELLEEN G NOACK MD
Pediatrics
(Neurodevelopmental Disabilities)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
ROBERT R BABLITCH MSW
Social Worker
(Clinical)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
LEAH A REIMANN MD
Pediatrics
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
CAMERON F ROBERTS MD
Radiology
(Diagnostic Radiology)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
RICHARD H REYNERTSON MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
MARLENE A BANNEN PHD
Psychologist
(Cognitive & Behavioral)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
P MICHAEL BANASIK DDS
Dentist
(Oral and Maxillofacial Surgery)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
SUE A BEIER-HANRATTY MD
Radiology
(Diagnostic Radiology)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
THOMAS R TERHORST MD
Radiology
(Diagnostic Radiology)
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
JAMES W TERMAN MD
Internal Medicine
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
HUMBERT G SULLIVAN MD
Neurological Surgery
1836 SOUTH AVE
LA CROSSE, WI
ZIP 54601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083175087, enumerated as an "individual" on March 31, 2019.
The provider is located at 1836 SOUTH AVE LA CROSSE, WI 54601 and the phone number is (608) 782-7300.
Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.
