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

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: October 25, 2026.

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

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 Western Maryland Regional Medical Center, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Puffenberger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

E.A. Hawse Health Center Inc
21 mi
Federally Qualified Health Center (FQHC)
17978 SR 55
Baker, WV 26801
  • Reassigned Medicare billing, West Virginia enrollment
  • 39 clinicians in this Medicare group
NPI 1851359251 (304) 897-5915

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

Hospital Affiliations CMS Care Compare 4

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511311
Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County
Emergency services

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))
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
CASSANDRA B FORD RPH
Pharmacist
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
MEGAN RENEE COMBS
Social Worker
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
MRS. LOREN N CUNNINGHAM PAC
Physician Assistant (Medical)
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
ASHLEY WRATCHFORD LPC
Counselor (Mental Health)
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
MRS. TINA ALT LIONG LPC
Counselor (Professional)
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
ASHTON LOUISE HUMPHREY
Nurse Practitioner
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451
JACOB ALAN GREENE DMD
Dentist (General Practice)
111 S GROVE ST STE 1
PETERSBURG, WV 26847
Grant County (304) 257-2451

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 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.

Where is Mark Puffenberger located?

Mark Puffenberger practices at 111 S Grove St Ste 1, Petersburg, WV 26847. The listed phone number is (304) 257-2451.

What is Mark Puffenberger's specialty?

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

Is Mark Puffenberger enrolled in Medicare?

Yes. Mark Puffenberger 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.

Which organization bills Medicare for Mark Puffenberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Puffenberger reassigns Medicare benefits to E.A. Hawse Health Center Inc (Baker, WV). The 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 Puffenberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Puffenberger accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Mark Puffenberger 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 Puffenberger affiliated with any hospitals?

According to CMS data, Mark Puffenberger is affiliated with Western Maryland Regional Medical Center, Winchester Medical Center, Hampshire Memorial Hospital and Grant Memorial Hospital.

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.