DR. MARCO MENDOZA M.D.
NPI 1255627964
Orthopaedic Surgery in Carson City, NV

Q: What is Marco Mendoza's NPI number?

The NPI number for Marco Mendoza is 1255627964. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Q: What is Marco Mendoza's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Marco Mendoza was last updated on August 11, 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.

Active since June 21, 2011PECOS EnrolledAccepts Medicare Assignment

91.59/100

CMS Quality Rating

973 MICA DR, SUITE 201, CARSON CITY, NV 89705(775) 783-6190 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 11, 2021, Mar 17, 2018, Jun 14, 2017 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Marco Mendoza M.d. NPPES

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

DR. MARCO MENDOZA M.D. (NPI 1255627964) is an individual orthopaedic surgery provider in Carson City, Nevada, licensed in Nevada (17066) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains a secondary practice location in South Lake Tahoe.

NPPES Registry Identity

NPI1255627964

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MARCO MENDOZACredential: M.D.

Location Address973 MICA DR, SUITE 201Carson City, NV 89705-7255

Mailing Address973 Mica Dr, Suite 201Carson City, NV 89705-7255 · (775) 783-6190

Phone(775) 783-6190

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2010

Enumeration DateJune 21, 2011

Last NPPES UpdateAugust 11, 20216 updates tracked since enumeration

NPPES CertifiedJuly 20, 2021

✔ NPI 1255627964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in NV · 17066✔ Licensed in CA · A149150✔ Licensed in NC · 2016-00148✔ Licensed in IL · 125059818

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

973 MICA DR, Carson City, NV 89705

Open in Google Maps ↗

Secondary Practice Location 1

Location 12170BSouth Lake Tahoe, CA 96150-3465 · Phone (775) 783-6190

Other Identifiers 2

Medicaid1255627964NC

MedicaidNC2672SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.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

Dr. Marco Mendoza 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 ID2668776642

PECOS Enrollment IDI20170707002653, I20170720000804

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

Medicare enrollment records show Marco Mendoza reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barton Healthcare System

12 mi

Ambulatory Surgical

212 ELKS POINT RD, SUITE 201
Zephyr Cove, NV 89448

Reassigned Medicare billing, Nevada and California enrollments
Also billed through NPI 1306931357 (California)
9 clinicians in this Medicare group

NPI 1700963725 (775) 588-9188

Barton Medical Foundation

17 mi

Family Medicine

2170 SOUTH AVE
South Lake Tahoe, CA 96150

Reassigned Medicare billing, California and Nevada enrollments
148 clinicians in this Medicare group

NPI 1750950499 (530) 541-3420

James J Lynch MD Ltd

24 mi

Specialist

9480 DOUBLE DIAMOND PKWY STE 200
Reno, NV 89521

Reassigned Medicare billing, Nevada enrollment
Medicare enrollment name: James J Lynch M D Ltd
83 clinicians in this Medicare group

NPI 1285649608 (775) 348-8800

Carolinas Medical Center

2,147 mi

Psychiatry

16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1629412184 (704) 801-9200

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 18

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 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.

427 services247 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.

162 services155 patients

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

145 services145 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

117 services62 patients

Mri scan of lower spinal canal without contrast 72148

An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.

90 services90 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.

57 services57 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.

51 services51 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

47 services46 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

28 services22 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

27 services11 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

25 services15 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

24 services24 patients

X-ray of middle spine, 2 views 72070

An X-ray of the middle spine, or thoracic spine, involves capturing two different images of the area. This non-invasive procedure uses small amounts of radiation to visualize the bones and tissues in your back, helping to identify any abnormalities or injuries.

19 services18 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

19 services13 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

14 services14 patients

Mri scan of upper spinal canal without contrast 72141

An MRI scan of the upper spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your upper spine. This helps doctors identify issues such as injuries, infections or diseases. No dye is used.

14 services14 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

13 services11 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Carson Tahoe Regional Medical Center

Acute Care Hospitals · Carson City, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290019

Location1600 Medical ParkwayCarson City, NV 89703 · Carson City County

Emergency services Birthing friendly

Mount Grant General Hospital

Critical Access Hospitals · Hawthorne, NV

OwnershipGovernment - Hospital District or Authority

CMS Certification Number291300

Location200 South A StHawthorne, NV 89415 · Mineral County

Emergency services

Carson Valley Health

Critical Access Hospitals · Gardnerville, NV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291306

Location1107 Highway 395Gardnerville, NV 89410 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89705 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

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.

91.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.05

Promoting Interoperability

96.88

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

52%387 patients3/55-star benchmark: 87%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%24 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

83%2,738 patients4/55-star benchmark: 100%

e-Prescribing

96%369 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%713 patients1/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

8%115 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

94%1,494 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%2,622 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 1,169 patients

Patients screened: 98% · 1,169 patients

96%146 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

89%890 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

1%380 patients1/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77%39 patients4/55-star benchmark: 91%

Tobacco Use and Help with Quitting Among Adolescents

95%39 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 757 patients

Patients totalRate: 12% · 761 patients

12%761 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

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

Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642

DME-Orthotic Devices · category DF007N

1 supplier12 claims12 services$287.17 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 18

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

DR. JOSEPH PATRICK WALLS MD

Orthopaedic Surgery

973 MICA DR, STE 201
CARSON CITY, NV 89705

Douglas County (775) 783-6190

JESSICA LANE YURTINUS M.S.P.T.

Physical Therapist

973 MICA DR, SUITE 201
CARSON CITY, NV 89705

Douglas County (775) 392-3689

TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC

Durable Medical Equipment & Medical Supplies

973 MICA DR, SUITE 201
CARSON CITY, NV 89705

Douglas County (775) 783-6190

CARSON DOUGLAS ANESTHESIA SERVICES INC

Anesthesiology (Pain Medicine)

973 MICA DR, SUITE 102
CARSON CITY, NV 89705

Douglas County (775) 267-9222

CHRISTOPHER J GARRETT LTD

Anesthesiology (Pain Medicine)

973 MICA DR, SUITE 101
CARSON CITY, NV 89705

Douglas County (775) 267-9222

MR. STAR RAY CHENOWETH PA-C

Physician Assistant (Surgical)

973 MICA DR, SUITE 201
CARSON CITY, NV 89705

Douglas County (775) 783-6190

PETER N COSTA, MD, LTD

Durable Medical Equipment & Medical Supplies

973 MICA DR, SUITE 201
CARSON CITY, NV 89705

Douglas County (775) 783-6190

DR. ROGER PAUL ROGALSKI MD

Orthopaedic Surgery

973 MICA DR, SUITE 201
CARSON CITY, NV 89705

Douglas County (775) 783-6190

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 Marco Mendoza's NPI number?

The NPI number for Marco Mendoza is 1255627964. It was assigned to this individual provider in the NPPES registry on June 21, 2011.

Where is Marco Mendoza located?

Marco Mendoza practices at 973 Mica Dr Suite 201, Carson City, NV 89705. The listed phone number is (775) 783-6190.

What is Marco Mendoza's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Marco Mendoza enrolled in Medicare?

Yes. Marco Mendoza 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 Marco Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marco Mendoza reassigns Medicare benefits to 4 organizations: Barton Healthcare System (Zephyr Cove, NV), Barton Medical Foundation (South Lake Tahoe, CA), James J Lynch MD Ltd (Reno, NV) and Carolinas Medical Center (Davidson, NC). 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 Marco Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marco Mendoza accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Marco Mendoza 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 Marco Mendoza affiliated with any hospitals?

According to CMS data, Marco Mendoza is affiliated with Renown Regional Medical Center, Carson Tahoe Regional Medical Center, Mount Grant General Hospital and Carson Valley Health.

When was this NPI record last updated?

The NPPES record for Marco Mendoza was last updated on August 11, 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.