MR. MARK C. TORRES D.O.
NPI 1124026208
Obstetrics & Gynecology in Janesville, WI

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
3200 E RACINE ST, JANESVILLE, WI 53546(608) 371-8000(608) 371-8928 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark C. Torres D.o. NPPES

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

MR. MARK C. TORRES D.O. (NPI 1124026208) is an individual obstetrics & gynecology provider in Janesville, Wisconsin, licensed in Wisconsin (52751-21) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Madison, and is a graduate of Chicago College Of Osteopathy (1991).

NPPES Registry Identity

NPI1124026208
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. MARK C. TORRESCredential: D.O.
Location Address3200 E RACINE STJanesville, WI 53546-2343
Mailing Address3200 E Racine StJanesville, WI 53546-2343 · (608) 371-8000 · Fax (608) 371-8928
Fax(608) 371-8928
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 1991
Enumeration DateJuly 12, 2005
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
NPI 1124026208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in WI · 52751-21
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3200 E RACINE ST, Janesville, WI 53546

Other Identifiers 1

Medicaid1124026208WI

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

Mr. Mark C. Torres D.o. 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 ID6204825250
PECOS Enrollment IDI20090427000303
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520208
Location3400 East Racine StreetJanesville, WI 53546 · Rock County
Emergency services Birthing friendly

Columbus Community Hospital

Critical Access Hospitals · Columbus, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521338
Location1515 Park AveColumbus, WI 53925 · Columbia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
5%20 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
73%33 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%39 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
74%31 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Physician Assistant (Medical)
3200 E RACINE ST
JANESVILLE, WI 53546
Registered Nurse (Diabetes Educator)
3200 E RACINE ST
JANESVILLE, WI 53546
Pediatrics
3200 E RACINE ST
JANESVILLE, WI 53546
Otolaryngology
3200 E RACINE ST
JANESVILLE, WI 53546
Physician Assistant
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546
Physical Therapist
3200 E RACINE ST
JANESVILLE, WI 53546

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 Torres's NPI number?

The NPI number for Mark Torres is 1124026208. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Mark Torres located?

Mark Torres practices at 3200 E Racine St, Janesville, WI 53546. The listed phone number is (608) 371-8000.

What is Mark Torres's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Torres enrolled in Medicare?

Yes. Mark Torres 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 Torres accept?

Health plans from Anthem Blue Cross and Blue Shield list Mark Torres 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 Torres affiliated with any hospitals?

According to CMS data, Mark Torres is affiliated with Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville and Columbus Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Torres was last updated on January 5, 2021. 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.