MARK WAVRUNEK
NPI 1194107607
Podiatrist - Foot & Ankle Surgery in Quincy, IL

Q: What is Mark Wavrunek's NPI number?

The NPI number for Mark Wavrunek is 1194107607. It was assigned to this individual provider in the NPPES registry on June 19, 2015.

Q: What is Mark Wavrunek's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Mark Wavrunek was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 19, 2015PECOS EnrolledAccepts Medicare Assignment

4800 MAINE ST, QUINCY, IL 62305(217) 214-3823 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark Wavrunek NPPES

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

MARK WAVRUNEK (NPI 1194107607) is an individual foot & ankle surgery provider in Quincy, Illinois, licensed in Illinois (016005840) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1194107607

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameMARK WAVRUNEK

Location Address4800 MAINE STQuincy, IL 62305-5875

Mailing Address4800 Maine StQuincy, IL 62305-5875 · (217) 214-3823

Phone(217) 214-3823

Sole ProprietorYes

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2015

Enumeration DateJune 19, 2015

Last NPPES UpdateJanuary 2, 2024

NPPES CertifiedJanuary 2, 2024

✔ NPI 1194107607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016005840

Also ListedPodiatristTaxonomy 213E00000X · License 41000333A (IN)

4800 MAINE ST, Quincy, IL 62305

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Secondary Practice Location 1

Location 1161 Washington Pointe DrIndianapolis, IN 46229-2693 · Phone (317) 898-6624

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 Wavrunek 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 ID4981998390

PECOS Enrollment IDI20190719002626

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 11

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.

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

264 services112 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.

227 services125 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.

83 services83 patients

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.

82 services70 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.

61 services61 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

40 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number140089

Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County

Emergency services Birthing friendly

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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.

ELISE SCOGGIN D.O.

Dermatology