MARK LYNWOOD WANTZ MD
NPI 1235128083
Family Medicine in Summersville, WV

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
350 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651(304) 872-5090(304) 872-0636 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Aug 6, 2021, Jan 13, 2021 (3 updates tracked since 2021).

About Mark Lynwood Wantz Md NPPES

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

MARK LYNWOOD WANTZ MD (NPI 1235128083) is an individual family medicine provider in Summersville, West Virginia, licensed in West Virginia (15521) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Loma Linda University School Of Medicine (1983).

NPPES Registry Identity

NPI1235128083
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK LYNWOOD WANTZCredential: MD
Location Address350 FAIRVIEW HEIGHTS RDSummersville, WV 26651-1085
Mailing AddressPo Box 1029Summersville, WV 26651-0139 · (304) 872-5090 · Fax (304) 872-0636
Fax(304) 872-0636
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1983
Enumeration DateOctober 14, 2005
Last NPPES UpdateApril 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1235128083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 15521
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.
350 FAIRVIEW HEIGHTS RD, Summersville, WV 26651

Other Identifiers 1

Medicaid0052360000WV

Accepted 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 Lynwood Wantz 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 ID8820092943
PECOS Enrollment IDI20100106000414
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 2

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26651 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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers26 claims60 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers21 claims21 services$0.86 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers13 claims13 services$37.40 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers13 claims13 services$23.47 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers28 claims92 services$2.52 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier44 claims44 services$19.81 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 7

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

Family Medicine
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Family Medicine
350 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651

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 Wantz's NPI number?

The NPI number for Mark Wantz is 1235128083. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Mark Wantz located?

Mark Wantz practices at 350 Fairview Heights Rd, Summersville, WV 26651. The listed phone number is (304) 872-5090.

What is Mark Wantz's specialty?

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

Is Mark Wantz enrolled in Medicare?

Yes. Mark Wantz 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.

What insurance does Mark Wantz accept?

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

According to CMS data, Mark Wantz is affiliated with Thomas Memorial Hospital and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Wantz was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.