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MARK WILFORD
NPI 1174501654
Internal Medicine - Endocrinology, Diabetes & Metabolism in Altoona, PA

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602(814) 946-1655 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Wilford NPPES

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

MARK WILFORD (NPI 1174501654) is an individual endocrinology, diabetes & metabolism provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD041014E) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and is a graduate of Wayne State University School Of Medicine (1983).

NPPES Registry Identity

NPI1174501654
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMARK WILFORD
Location Address1414 9TH AVE, STATION MEDICAL CENTERAltoona, PA 16602-2415
Mailing Address1414 9th Ave, Station Medical CenterAltoona, PA 16602-2454
Phone(814) 946-1655
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1983
Enumeration DateJanuary 5, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1174501654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD041014E
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1414 9TH AVE, Altoona, PA 16602
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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 Wilford 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 ID8426952664
PECOS Enrollment IDI20101015000564
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 Wilford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upmc Altoona Regional Health Services, Inc
0.1 mi
Internal Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
NPI 1639158488 (814) 946-1655

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

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
203 services139 patients
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.
171 services136 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
130 services67 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
114 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Penn Highlands Tyrone

Critical Access Hospitals · Tyrone, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391307
Location187 Hospital DriveTyrone, PA 16686 · Blair County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
63%327 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers39 claims507 services$18.35 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers37 claims1,155 services$2.38 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers18 claims18 services$176.76 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers136 claims428 services$5.86 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers13 claims13 services$2.96 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers30 claims45 services$1.04 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 20

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

BLAIR MEDICAL ASSOCIATES
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 949-7621
THEODORE BELIS
Urology
1414 9TH AVE
ALTOONA, PA 16602
Blair County (814) 946-1655
BLAIR MEDICAL ASSOCIATES
Internal Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
RAPHAEL VOLTZ
Physician Assistant
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
NATASHA D. MCCARTNEY
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
MICHAEL L HUMPHREY D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
BLAIR MEDICAL ASSOCIATES
Podiatrist (Foot & Ankle Surgery)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
JONATHAN HOLTZ
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1414 9TH AVE
ALTOONA, PA 16602
Blair County (814) 946-1655

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 Wilford's NPI number?

The NPI number for Mark Wilford is 1174501654. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Mark Wilford located?

Mark Wilford practices at 1414 9th Ave Station Medical Center, Altoona, PA 16602. The listed phone number is (814) 946-1655.

What is Mark Wilford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Mark Wilford enrolled in Medicare?

Yes. Mark Wilford 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 Wilford's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wilford reassigns Medicare benefits to Upmc Altoona Regional Health Services, Inc (Altoona, PA). 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 Wilford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Mark Wilford affiliated with any hospitals?

According to CMS data, Mark Wilford is affiliated with Conemaugh Nason Medical Center, Upmc Altoona, Penn Highlands Dubois, Upmc Bedford Memorial and Penn Highlands Tyrone.

When was this NPI record last updated?

The NPPES record for Mark Wilford was last updated on March 25, 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.