MARK W WOODRUFF MD
NPI 1376540567
Family Medicine in Omaha, NE

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
7100 W CENTER RD, OMAHA, NE 68106(402) 506-9123(402) 858-7101 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark W Woodruff Md NPPES

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

MARK W WOODRUFF MD (NPI 1376540567) is an individual family medicine provider in Omaha, Nebraska, licensed in Nebraska (18120) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Duke University School Of Medicine (1985).

NPPES Registry Identity

NPI1376540567
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK W WOODRUFFCredential: MD
Location Address7100 W CENTER RDOmaha, NE 68106-2700
Mailing Address7100 W Center RdOmaha, NE 68106-2700 · (402) 506-9123 · Fax (402) 858-7101
Fax(402) 858-7101
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1985
Enumeration DateJuly 1, 2005
Last NPPES UpdateSeptember 10, 2015
NPI 1376540567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NE · 18120
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

7100 W CENTER RD, Omaha, NE 68106

Other Identifiers 1

Medicare UPINC87276NE

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 W Woodruff 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 ID2668491549
PECOS Enrollment IDI20051121000624
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 38

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.
400 services167 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
396 services50 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
328 services152 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
237 services129 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
204 services137 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
204 services149 patients

Hospital Affiliations CMS Care Compare 3

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280060
Location7500 Mercy RdOmaha, NE 68124 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68106 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers14 claims16 services$5.76 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers16 claims16 services$42.75 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers12 claims12 services$14.40 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims690 services$0.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$185.34 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 20

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

Social Worker (Clinical)
7100 W CENTER RD
OMAHA, NE 68106
Pharmacist
7100 W CENTER RD
OMAHA, NE 68106
Internal Medicine
7100 W CENTER RD
OMAHA, NE 68106
Physical Therapist
7100 W CENTER RD
OMAHA, NE 68106
Nutritionist (Nutrition, Education)
7100 W CENTER RD
OMAHA, NE 68106
Internal Medicine
7100 W CENTER RD
OMAHA, NE 68106
Dietitian, Registered
7100 W CENTER RD
OMAHA, NE 68106
Family Medicine
7100 W CENTER RD
OMAHA, NE 68106

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 Woodruff's NPI number?

The NPI number for Mark Woodruff is 1376540567. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Mark Woodruff located?

Mark Woodruff practices at 7100 W Center Rd, Omaha, NE 68106. The listed phone number is (402) 506-9123.

What is Mark Woodruff's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Woodruff enrolled in Medicare?

Yes. Mark Woodruff 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 Woodruff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Mark Woodruff 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 Woodruff affiliated with any hospitals?

According to CMS data, Mark Woodruff is affiliated with The Nebraska Medical Center, The Nebraska Methodist Hospital and Chi Health Bergan Mercy.

When was this NPI record last updated?

The NPPES record for Mark Woodruff was last updated on September 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.