DR. MARK DALE NELLERMOE D.P.M.
NPI 1386733541
Podiatrist - Foot & Ankle Surgery in University Place, WA

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
80.28/100
CMS Quality Rating
3929 BRIDGEPORT WAY W STE 308, UNIVERSITY PLACE, WA 98466(253) 627-4181(253) 272-5922 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mark Dale Nellermoe D.p.m. NPPES

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

DR. MARK DALE NELLERMOE D.P.M. (NPI 1386733541) is an individual foot & ankle surgery provider in University Place, Washington, licensed in Washington (PO00000507) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1386733541
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. MARK DALE NELLERMOECredential: D.P.M.
Location Address3929 BRIDGEPORT WAY W STE 308University Place, WA 98466-4455
Mailing Address3929 Bridgeport Way W Ste 308University Place, WA 98466-4455 · (253) 627-4181 · Fax (253) 272-5922
Fax(253) 272-5922
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 11, 2011
NPI 1386733541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in WA · PO00000507
3929 BRIDGEPORT WAY W STE 308, University Place, WA 98466

Other Identifiers 6

Other990007694WA · Railroad Medicare Id
Other1386733541WA · Npi #
Medicare UPINU48440WA
Medicaid1102375WA
Other0039635WA · Department Of Labor & Ind
OtherGAB02027WA · Medicare Id

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 Dale Nellermoe D.p.m. 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 ID3971795287
PECOS Enrollment IDI20101005000882
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 6

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
830 services294 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
725 services230 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
506 services230 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
298 services175 patients
Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99341
A new patient home visit is a brief, 20-minute appointment where a healthcare professional comes to your home. This visit is to understand your health needs, answer your queries, and plan your care. It's a convenient way to start your healthcare journey.
174 services174 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
13 services13 patients

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.

80.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.16
Improvement Activities40
Cost64.75

Other Providers at the Same Location NPPES 4

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

Podiatrist
3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA 98466
Podiatrist
3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA 98466
Podiatrist (Foot & Ankle Surgery)
3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA 98466
Podiatrist
3929 BRIDGEPORT WAY W STE 308
UNIVERSITY PLACE, WA 98466

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 Nellermoe's NPI number?

The NPI number for Mark Nellermoe is 1386733541. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Mark Nellermoe located?

Mark Nellermoe practices at 3929 Bridgeport Way W Ste 308, University Place, WA 98466. The listed phone number is (253) 627-4181.

What is Mark Nellermoe's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Mark Nellermoe enrolled in Medicare?

Yes. Mark Nellermoe 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 Nellermoe accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mark Nellermoe 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.

When was this NPI record last updated?

The NPPES record for Mark Nellermoe was last updated on July 11, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.