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MARK CONRAD STOVER MD
NPI 1093876138
Emergency Medicine in Kotzebue, AK

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
436 5TH AVE, KOTZEBUE, AK 99752(907) 442-7148 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Conrad Stover Md NPPES

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

MARK CONRAD STOVER MD (NPI 1093876138) is an individual emergency medicine provider in Kotzebue, Alaska, licensed in California (C55475) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2003).

NPPES Registry Identity

NPI1093876138
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK CONRAD STOVERCredential: MD
Location Address436 5TH AVEKotzebue, AK 99752
Mailing Address705 N San Francisco StFlagstaff, AZ 86001-3232
Phone(907) 442-7148
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2003
Enumeration DateDecember 13, 2006
Last NPPES UpdateNovember 17, 2016
✔ NPI 1093876138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in CA · C55475✔ Licensed in KS · 04-34374
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
436 5TH AVE, Kotzebue, AK 99752
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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 Conrad Stover Md 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.

PECOS PAC ID4486755741
PECOS Enrollment IDI20110718000276
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 99752 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Other Providers at the Same Location NPPES 15

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

ELSA RUTH A GILBERT
Registered Nurse (Obstetric, Inpatient)
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
DR. JOSHUA FILLIBLE PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7462
JOLIE MILLER DNP
Nurse Practitioner (Family)
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
ELISABETH ANNE MONTAGUE RDH
Dental Hygienist
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
MR. MICHAEL DWAYNE STEWARD ARNP/FNP-C
Nurse Practitioner (Family)
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
DR. BRANDON ALEXANDER BERGER MD
Emergency Medicine
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321
MAHER SHENOUDA PHARM.D
Pharmacist
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-7457
JULIAN CHISMAR
Dietitian, Registered
436 5TH AVE
KOTZEBUE, AK 99752
Northwest Arctic Borough (907) 442-3321

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 Stover's NPI number?

The NPI number for Mark Stover is 1093876138. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Mark Stover located?

Mark Stover practices at 436 5th Ave, Kotzebue, AK 99752. The listed phone number is (907) 442-7148.

What is Mark Stover's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Stover enrolled in Medicare?

Yes. Mark Stover 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.

When was this NPI record last updated?

The NPPES record for Mark Stover was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.