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MARK WELLS MD
NPI 1215926597
Surgery - Plastic and Reconstructive Surgery in Wilkes Barre, PA

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
675 BALTIMORE DR, WILKES BARRE, PA 18702(570) 808-6400(570) 808-6338 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2026, Apr 27, 2026, Jan 14, 2026 and 2 more (5 updates tracked since 2025).

About Mark Wells Md NPPES

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

MARK WELLS MD (NPI 1215926597) is an individual plastic and reconstructive surgery provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD496175) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with United Health Services Hospitals, Inc, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1215926597
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameMARK WELLSCredential: MD
Location Address675 BALTIMORE DRWilkes Barre, PA 18702-7900
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-6400 · Fax (570) 808-6338
Phone(570) 808-6400
Fax(570) 808-6338
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateOctober 19, 2005
Last NPPES UpdateAugust 14, 20265 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1215926597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in PA · MD496175
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 01099953A (IN), 35069832 (OH), 339168 (NY)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 35069832 (OH)
675 BALTIMORE DR, Wilkes Barre, PA 18702
Open in Google Maps ↗

Secondary Practice Locations 4

Location 14433 Vestal Pkwy EVestal, NY 13850-3556 · Phone (607) 771-2220 · Fax (607) 251-2635
Location 2400 Matthew St Ste B-1Marietta, OH 45750-1644 · Phone (740) 568-5384 · Fax (740) 571-4739
Location 3285 E State St, Suite 600Columbus, OH 43215-4354 · Phone (614) 566-9496 · Fax (614) 566-8668
Location 411141 Parkview Plaza Dr Ste 300Fort Wayne, IN 46845-1715 · Phone (260) 425-6960 · Fax (260) 425-6965

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Wells Md 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 ID9638140163
PECOS Enrollment IDI20040805001229, I20260114002383, I20260506002085
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 Reassignments

7

Medicare enrollment records show Mark Wells reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.5 mi
Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1316999782 (570) 826-7300
United Health Services Hospitals, Inc.
60 mi
Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group
NPI 1962463851 (607) 762-3027
United Medical Associates PC
62 mi
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
NPI 1013972801 (607) 770-0025
Albany Medical College
142 mi
Allergy & Immunology
47 NEW SCOTLAND AVE
Albany, NY 12208
  • Reassigned Medicare billing, New York enrollment
  • 1,640 clinicians in this Medicare group
NPI 1497921688 (518) 262-9600
Marietta Memorial Hospital
298 mi
Rural Health
127 S MAIN ST
Woodsfield, OH 43793
  • Reassigned Medicare billing, Ohio enrollment
  • 411 clinicians in this Medicare group
NPI 1962106328 (740) 472-1330
Selby General Hospital
323 mi
Critical Access
1106 COLEGATE DR
Marietta, OH 45750
  • Reassigned Medicare billing, Ohio enrollment
  • 247 clinicians in this Medicare group
NPI 1124073465 (740) 568-2040
Parkview Health System Inc
484 mi
Family Medicine
3909 NEW VISION DR
Fort Wayne, IN 46845
  • Reassigned Medicare billing, Indiana enrollment
  • 1,752 clinicians in this Medicare group
NPI 1932130952 (260) 469-6602

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 3

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
38 services36 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.
32 services21 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

DR. KYLE BRYAN FRAZIER DDS
Dentist (Oral and Maxillofacial Surgery)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5626
MRS. KIMBERLY ANN REED PAC
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5757
MRS. CHANNING ELIZABETH BOBACK PA-C
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-1000
MS. MELISSA LAPORTE CRNP
Nurse Practitioner (Adult Health)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-1000
SABRINA KAYLA JONES O.D.
Optometrist
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5441
MS. ANDREA M. SLUCKI CRNP
Nurse Practitioner
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-1000
ALLISON LEE PASSARELLA PA-C
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-5757
DR. OMAIR ALI KHAN MBBS
Internal Medicine (Rheumatology)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Luzerne County (570) 808-6111

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 Wells's NPI number?

The NPI number for Mark Wells is 1215926597. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Mark Wells located?

Mark Wells practices at 675 Baltimore Dr, Wilkes Barre, PA 18702. The listed phone number is (570) 808-6400.

What is Mark Wells's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mark Wells enrolled in Medicare?

Yes. Mark Wells 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 organizations bill Medicare for Mark Wells's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wells reassigns Medicare benefits to 7 organizations: Geisinger Clinic (Wilkes Barre, PA), United Health Services Hospitals, Inc. (Johnson City, NY), United Medical Associates PC (Binghamton, NY), Albany Medical College (Albany, NY), Marietta Memorial Hospital (Woodsfield, OH) and 2 more organizations, listed in the Medicare section above. Each 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 Wells's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Wells accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 2 other insurers list Mark Wells 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 Wells affiliated with any hospitals?

According to CMS data, Mark Wells is affiliated with United Health Services Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Mark Wells was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.