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DR. MARK ANDREW WISNER D.O.
NPI 1083829162
Family Medicine in Golden, CO

Active since May 11, 2007PECOS Enrolled
67/100
CMS Quality Rating
1109 FORD ST, GOLDEN, CO 80401(303) 277-2138 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Feb 6, 2020, Aug 22, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Mark Andrew Wisner D.o. NPPES

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

DR. MARK ANDREW WISNER D.O. (NPI 1083829162) is an individual family medicine provider in Golden, Colorado, licensed in Colorado (CO 44052) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083829162
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK ANDREW WISNERCredential: D.O.
Location Address1109 FORD STGolden, CO 80401-1176
Mailing AddressPo Box 399Kremmling, CO 80459-0399 · (970) 887-5800
Phone(303) 277-2138
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateFebruary 11, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1083829162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CO · CO 44052
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.
1109 FORD ST, Golden, CO 80401
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15330 Manhattan Cir, Suite C-2Boulder, CO 80303 · Phone (303) 543-1111 · Fax (303) 543-1112
Location 2214 South 4th StreetKremmling, CO 80459-0399 · Phone (970) 887-5800

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 Andrew Wisner D.o. 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 80401 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

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.

67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.86
Promoting Interoperability100
Improvement Activities40
Cost11.14

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers40 claims40 services$18.08 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers19 claims19 services$43.96 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
2 suppliers116 claims116 services$110.50 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier29 claims29 services$38.22 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$27.98 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

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

PREMISE HEALTH OF COLORADO MEDICAL PC
Family Medicine
1109 FORD ST
GOLDEN, CO 80401
Jefferson County (303) 277-2138

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 Wisner's NPI number?

The NPI number for Mark Wisner is 1083829162. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Mark Wisner located?

Mark Wisner practices at 1109 Ford St, Golden, CO 80401. The listed phone number is (303) 277-2138.

What is Mark Wisner's specialty?

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

Is Mark Wisner enrolled in Medicare?

Yes. Mark Wisner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Wisner was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.