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

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: August 16, 2026.

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 Mesa View Regional 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
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

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 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.

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

Hospital Affiliations CMS Care Compare 5

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

Mesa View Regional Hospital

Critical Access Hospitals · Mesquite, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number291307
Location1299 Bertha Howe AvenueMesquite, NV 89027 · Clark County
Emergency services

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
Quality100
Improvement Activities40

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.

Nurse Practitioner
652 S MEDICAL CENTER DR STE 420
SAINT GEORGE, UT 84790
Psychiatry & Neurology (Neurology)
652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790
Physician Assistant
652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790
Nurse Practitioner (Family)
652 S MEDICAL CENTER DR STE 420
SAINT GEORGE, UT 84790
Physician Assistant
652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790
Neurological Surgery
652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790
Nurse Practitioner (Family)
652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790
Neurological Surgery
652 S MEDICAL CENTER DR STE 420
ST GEORGE, UT 84790

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.

What insurance does Mark Stouffer accept?

Health plans from Molina Healthcare and Select Health 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 Mesa View Regional Hospital, 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.