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

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: August 02, 2026.

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

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
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

Secondary Practice Location 1

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

Other Identifiers 2

Medicaid1255627964NC
MedicaidNC2672SC

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

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.

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

Hospital Affiliations CMS Care Compare 5

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

Renown South Meadows Medical Center

Acute Care Hospitals · Reno, NV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number290049
Location10101 Double R BlvdReno, NV 89521 · Washoe County
Emergency services

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
Quality85.05
Promoting Interoperability96.88
Improvement Activities40

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 19

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

Orthopaedic Surgery
973 MICA DR, STE 201
CARSON CITY, NV 89705
Physical Therapist
973 MICA DR, SUITE 201
CARSON CITY, NV 89705
Durable Medical Equipment & Medical Supplies
973 MICA DR, SUITE 201
CARSON CITY, NV 89705
Anesthesiology (Pain Medicine)
973 MICA DR, SUITE 102
CARSON CITY, NV 89705
Anesthesiology (Pain Medicine)
973 MICA DR, SUITE 101
CARSON CITY, NV 89705
Physician Assistant (Surgical)
973 MICA DR, SUITE 201
CARSON CITY, NV 89705
Durable Medical Equipment & Medical Supplies
973 MICA DR, SUITE 201
CARSON CITY, NV 89705
Orthopaedic Surgery
973 MICA DR, SUITE 201
CARSON CITY, NV 89705

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.

What insurance does Marco Mendoza accept?

Health plans from Ambetter from Arizona Complete Health 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, Renown South Meadows 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 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.