DR. MARK E HODGSON MD
NPI 1285685016
Orthopaedic Surgery in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
2500 N MAYFAIR RD STE 670, SUITE 670, MILWAUKEE, WI 53226(414) 453-7418(414) 453-7420 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark E Hodgson Md NPPES

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

DR. MARK E HODGSON MD (NPI 1285685016) is an individual orthopaedic surgery provider in Milwaukee, Wisconsin, licensed in Wisconsin (47914) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Orthopaedic Hospital Of Wisconsin, and is a graduate of University Of Michigan Medical School (1999).

NPPES Registry Identity

NPI1285685016
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK E HODGSONCredential: MD
Location Address2500 N MAYFAIR RD STE 670, SUITE 670Milwaukee, WI 53226-1444
Mailing Address2500 N Mayfair Rd Ste 670, Suite 670Milwaukee, WI 53226-1444 · (414) 453-7418 · Fax (414) 453-7420
Fax(414) 453-7420
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1999
Enumeration DateMay 15, 2006
Last NPPES UpdateSeptember 18, 2014
NPI 1285685016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 47914
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.
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 47914 (WI)
2500 N MAYFAIR RD STE 670, Milwaukee, WI 53226

Other Identifiers 4

Other039906262UHumana
Medicaid34648700WI
Medicare ID-Type Unspecified0066S73601
Medicare UPINI42558

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. Mark E Hodgson 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 ID941225718
PECOS Enrollment IDI20051011000419
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 15

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
526 services42 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
377 services66 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
259 services41 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.
89 services63 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
67 services25 patients
Application of hot wax bath 97018
A hot wax bath, also known as paraffin wax treatment, is a therapy often used for pain relief in your hands, feet, or other areas. The warm wax helps increase blood flow, relax muscles, and reduce stiffness in joints. It's completely safe and can be especially beneficial for those with arthritis or other similar conditions.
51 services22 patients

Hospital Affiliations CMS Care Compare

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

Orthopaedic Hospital Of Wisconsin

Acute Care Hospitals · Glendale, WI
OwnershipPhysician
CMS Certification Number520194
Location475 W River Woods PkwyGlendale, WI 53212 · Milwaukee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 Hodgson's NPI number?

The NPI number for Mark Hodgson is 1285685016. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Mark Hodgson located?

Mark Hodgson practices at 2500 N Mayfair Rd Ste 670 Suite 670, Milwaukee, WI 53226. The listed phone number is (414) 453-7418.

What is Mark Hodgson's specialty?

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

Is Mark Hodgson enrolled in Medicare?

Yes. Mark Hodgson 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 Hodgson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Mark Hodgson 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 Hodgson affiliated with any hospitals?

According to CMS data, Mark Hodgson is affiliated with Orthopaedic Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Mark Hodgson was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.