MARK W PUFFENBERGER M.D.
NPI 1124055314
Family Medicine in Petersburg, WV

Q: What is Mark Puffenberger's NPI number?

The NPI number for Mark Puffenberger is 1124055314. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Mark Puffenberger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Puffenberger was last updated on March 23, 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.

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment

111 S GROVE ST STE 1, PETERSBURG, WV 26847(304) 257-2451(304) 257-1263 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2021, Apr 3, 2020 (2 updates tracked since 2020).

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About Mark W Puffenberger M.d. NPPES

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

MARK W PUFFENBERGER M.D. (NPI 1124055314) is an individual family medicine provider in Petersburg, West Virginia, licensed in Pennsylvania (MD040604E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Grant Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124055314

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK W PUFFENBERGERCredential: M.D.

Location Address111 S GROVE ST STE 1Petersburg, WV 26847-1805

Mailing Address17978 Sr 55Baker, WV 26801-0097 · (304) 897-5915

Phone(304) 257-2451

Fax(304) 257-1263

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1986

Enumeration DateJune 26, 2006

Last NPPES UpdateMarch 23, 20212 updates tracked since enumeration

NPPES CertifiedMarch 2, 2021

✔ NPI 1124055314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD040604E

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.

111 S GROVE ST STE 1, Petersburg, WV 26847

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Secondary Practice Locations 2

Location 18 Lee StMoorefield, WV 26836-1091 · Phone (304) 538-7707

Location 217978 SR 55BAKER, WV 26801 · Phone (304) 897-5915

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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 W Puffenberger 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.

PECOS PAC ID2860564176

PECOS Enrollment IDI20200407001770

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.

Hospital Affiliations CMS Care Compare

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

Grant Memorial Hospital

Critical Access Hospitals · Petersburg, WV

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number511316

Location117 Hospital DrivePetersburg, WV 26847 · Grant County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26847 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers12 claims51 services$2.22 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers18 claims18 services$53.03 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 suppliers20 claims20 services$91.55 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 12

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

E. A. HAWSE HEALTH CENTER, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))