MARK A WESTFALL M.D.
NPI 1093785552
Family Medicine in Marion, IN
About Mark A Westfall M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK A WESTFALL M.D. (NPI 1093785552) is an individual family medicine provider in Marion, Indiana, licensed in Indiana (01037682) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Indiana University School Of Medicine (1988).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark A Westfall M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marion General Hospital
Acute Care Hospitals · Marion, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MARION, IN 46952
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 Westfall's NPI number?
The NPI number for Mark Westfall is 1093785552. It was assigned to this individual provider in the NPPES registry on January 25, 2006.
Where is Mark Westfall located?
Mark Westfall practices at 1391 N Baldwin Ave, Marion, IN 46952. The listed phone number is (765) 660-7900.
What is Mark Westfall's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mark Westfall enrolled in Medicare?
Yes. Mark Westfall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mark Westfall accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Mark Westfall 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.
Is Mark Westfall affiliated with any hospitals?
According to CMS data, Mark Westfall is affiliated with Marion General Hospital.
When was this NPI record last updated?
The NPPES record for Mark Westfall was last updated on October 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mark A Westfall, M.D. · NPI 1093785552
Family Medicine physician in Marion, Indiana. Individual provider, active in the CMS NPPES registry since January 25, 2006.
## Identity
- **NPI:** 1093785552 (Entity type: Individual)
- **Enumerated:** January 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 01037682 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1391 N BALDWIN AVE, Marion, IN 46952-1913
- **Phone:** (765) 660-7900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Indiana University School Of Medicine, class of 1988
## Record status
- **NPPES last updated:** October 19, 2020
- **Other identifiers:** Medicaid 100124240 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1093785552) · Data from the CMS NPPES public registry.