MARK H STOUFFER MD
NPI 1316131790
Orthopaedic Surgery in St George, UT

Q: What is Mark Stouffer's NPI number?

The NPI number for Mark Stouffer is 1316131790. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Q: What is Mark Stouffer'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 Mark Stouffer was last updated on August 10, 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 August 29, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

652 S MEDICAL CENTER DR STE 420, ST GEORGE, UT 84790(435) 251-6800 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mark H Stouffer Md NPPES

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

MARK H STOUFFER MD (NPI 1316131790) is an individual orthopaedic surgery provider in St George, Utah, licensed in Utah (9033476-1205) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Cedar City Hospital, and is a graduate of Medical College Of Wisconsin (2007).

NPPES Registry Identity

NPI1316131790

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK H STOUFFERCredential: MD

Location Address652 S MEDICAL CENTER DR STE 420St George, UT 84790-7049

Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128 · (435) 251-6800

Phone(435) 251-6800

Sole ProprietorYes

Medical School CMSMedical College Of WisconsinGraduated 2007

Enumeration DateAugust 29, 2007

Last NPPES UpdateAugust 10, 2021

NPPES CertifiedAugust 10, 2021

✔ NPI 1316131790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in UT · 9033476-1205✔ Licensed in OH · 57-013271

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.

652 S MEDICAL CENTER DR STE 420, St George, UT 84790

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, 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 H Stouffer 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 ID840432605

PECOS Enrollment IDI20140707001440

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 Mark Stouffer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc

Same address

Neurology

652 S MEDICAL CENTER DR, STE 320
St George, UT 84790

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1306081187 (435) 251-3950

Huntsman West Spine LLC

1.1 mi

Orthopaedic Surgery of the Spine

230 N 1680 E, STE I-1
Saint George, UT 84790

Reassigned Medicare billing, Utah enrollment
9 clinicians in this Medicare group

NPI 1457793697 (435) 652-6024

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 17

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 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.

214 services136 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.

89 services89 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

58 services56 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

53 services22 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.

41 services25 patients

Aspiration of bone marrow for spine bone graft 20939

Aspiration of bone marrow for spine bone graft is a procedure where a small amount of bone marrow is extracted, usually from the hip, and then used to help new bone grow in the spine. This can aid in spinal fusion surgeries, enhancing recovery and stability.

35 services28 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.

33 services25 patients

Computer-assisted spinal procedure 61783

A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.

32 services29 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.

27 services26 patients

Fusion of pelvic joint using imaging guidance 27279

This procedure involves joining or "fusing" the pelvic joint to alleviate pain or stabilize the area. It's performed under imaging guidance, which helps the doctor visualize the area and ensure precise placement of medical tools. This can improve recovery and outcome.

26 services24 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

24 services24 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.

23 services22 patients

Fusion of lower spine bone through abdomen with partial removal of disc 22558

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

22 services21 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.

22 services21 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

21 services20 patients

Removal of spine bone for insertion of neurostimulator electrode plate in spine 63655

This procedure involves removing a small part of the spine bone to place a neurostimulator electrode plate. This device can help manage pain signals from the spine to the brain, improving comfort and quality of life. The process is performed by skilled surgeons in a safe environment.

12 services12 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

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.

Cedar City Hospital

Acute Care Hospitals · Cedar City, UT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460007

Location1303 North Main StreetCedar City, UT 84721 · Iron County

Emergency services Birthing friendly

St. George Regional Hospital

Acute Care Hospitals · St George, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460021

Location1380 East Medical Center DriveSt George, UT 84790 · Washington County

Emergency services Birthing friendly

Sevier Valley Hospital

Acute Care Hospitals · Richfield, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460026

Location1000 North Main StreetRichfield, UT 84701 · Sevier County

Emergency services Birthing friendly

Beaver Valley Hospital

Critical Access Hospitals · Beaver, UT

OwnershipGovernment - Local

CMS Certification Number461335

Location1109 North 100 WestBeaver, UT 84713 · Beaver County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84790 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

MARANDA ANN NELSON

Nurse Practitioner

652 S MEDICAL CENTER DR STE 420
SAINT GEORGE, UT 84790

Washington County (435) 251-6800

DR. SWATI LAROIA COON DO

Psychiatry & Neurology (Neurology)

652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790

Washington County (435) 251-6800

MRS. SARAH RENEE ELDREDGE PA-C

Physician Assistant

652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790

Washington County (435) 251-6800

CORY J THOMPSON NP

Nurse Practitioner (Family)

652 S MEDICAL CENTER DR STE 420
SAINT GEORGE, UT 84790

Washington County (435) 669-2481

MR. CHAD R BOWEN PA

Physician Assistant

652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790

Washington County (435) 251-6800

JOTHAM CHARLES MANWARING MD

Neurological Surgery

652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790

Washington County (435) 251-6800

COLBY BYBEE WHITE APRN

Nurse Practitioner (Family)

652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790

Washington County (435) 251-6800

DR. BERKELEY GRAHAM BATE MD

Neurological Surgery

652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790

Washington County (435) 251-6800

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 Stouffer's NPI number?

The NPI number for Mark Stouffer is 1316131790. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Mark Stouffer located?

Mark Stouffer practices at 652 S Medical Center Dr Ste 420, St George, UT 84790. The listed phone number is (435) 251-6800.

What is Mark Stouffer's specialty?

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

Is Mark Stouffer enrolled in Medicare?

Yes. Mark Stouffer 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 Stouffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Stouffer reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (St George, UT) and Huntsman West Spine LLC (Saint George, UT). 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 Stouffer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Stouffer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Molina Healthcare and 1 other insurer list Mark Stouffer 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 Stouffer affiliated with any hospitals?

According to CMS data, Mark Stouffer is affiliated with Cedar City Hospital, St. George Regional Hospital, Sevier Valley Hospital and Beaver Valley Hospital.

When was this NPI record last updated?

The NPPES record for Mark Stouffer was last updated on August 10, 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.