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DR. MARK STEVEN MOELLER DDS
NPI 1083895510
Dentist - Pediatric Dentistry in La Crosse, WI

Active since November 27, 2007PECOS Enrolled
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: December 19, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark Steven Moeller Dds NPPES

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

DR. MARK STEVEN MOELLER DDS (NPI 1083895510) is an individual pediatric dentistry provider in La Crosse, Wisconsin, licensed in Wisconsin (1001156) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1083895510
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARK STEVEN MOELLERCredential: DDS
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Phone(608) 782-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 27, 2007
Last NPPES UpdateDecember 19, 2018
✔ NPI 1083895510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in WI · 1001156✔ Licensed in MN · S25
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 09067 (IA), 1001156 (WI)
1836 SOUTH AVE, La Crosse, WI 54601
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Delta Dental of Wisconsin, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Steven Moeller Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779890892
PECOS Enrollment IDI20260504007677
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 Billing Reassignments

2

Medicare enrollment records show Mark Moeller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gundersen Clinic Ltd
Same address
Clinic/Center
1836 SOUTH AVE
La Crosse, WI 54601
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 141 clinicians in this Medicare group
NPI 1851343115 (608) 782-7300
Gundersen Lutheran Medical Center Inc
0.1 mi
General Acute Care Hospital
1910 SOUTH AVE
La Crosse, WI 54601
  • Reassigned Medicare billing, Minnesota enrollment
  • 275 clinicians in this Medicare group
NPI 1376593442 (608) 775-4370

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54601 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

JEFFREY BRIAN TROHKIMOINEN M.D.
Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
La Crosse County (608) 775-2031
JESSICA E THESING CRNA
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
DR. MICHAEL DAVID SMITH PSY.D.
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JESSICA MAE RASMUSSEN
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
JULIE SONSALLA NP
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
LAURA KLINGBEIL
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
SUSAN CAROL SORRENTINO RN
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300
NAOMI MUTHONI RUIRU NP
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601
La Crosse County (608) 782-7300

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 Moeller's NPI number?

The NPI number for Mark Moeller is 1083895510. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Mark Moeller located?

Mark Moeller practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Mark Moeller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Mark Moeller enrolled in Medicare?

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

Which organizations bill Medicare for Mark Moeller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Moeller reassigns Medicare benefits to 2 organizations: Gundersen Clinic Ltd (La Crosse, WI) and Gundersen Lutheran Medical Center Inc (La Crosse, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Moeller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Moeller accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Delta Dental of Wisconsin, Inc. list Mark Moeller 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.

When was this NPI record last updated?

The NPPES record for Mark Moeller was last updated on December 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.