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DR. MARK DAVID WIGOD MD
NPI 1427086164
Surgery - Plastic and Reconstructive Surgery in Meridian, ID

Active since June 29, 2006PECOS Enrolled
3630 E LOUISE DRIVE, MERIDIAN, ID 83642(208) 377-9515(208) 377-9517 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mark David Wigod Md NPPES

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

DR. MARK DAVID WIGOD MD (NPI 1427086164) is an individual plastic and reconstructive surgery provider in Meridian, Idaho, licensed in Idaho (M8189) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427086164
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. MARK DAVID WIGODCredential: MD
Location Address3630 E LOUISE DRIVEMeridian, ID 83642
Mailing Address7157 N Spurwing WayMeridian, ID 83642-5179
Phone(208) 377-9515
Fax(208) 377-9517
Sole ProprietorYes
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427086164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in ID · M8189
Definition
A surgeon who specializes in plastic and reconstructive surgery.
3630 E LOUISE DRIVE, Meridian, ID 83642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Wigod Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mark Wigod reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark D. Wigod, MD, PA
Same address
Plastic and Reconstructive Surgery
3630 E LOUISE DR
Meridian, ID 83642
  • Reassigned Medicare billing, Idaho enrollment
NPI 1679751770 (208) 377-9515

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wigod's NPI number?

The NPI number for Mark Wigod is 1427086164. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Mark Wigod located?

Mark Wigod practices at 3630 E Louise Drive, Meridian, ID 83642. The listed phone number is (208) 377-9515.

What is Mark Wigod's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Mark Wigod enrolled in Medicare?

Yes. Mark Wigod is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Wigod's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wigod reassigns Medicare benefits to Mark D. Wigod, MD, PA (Meridian, ID). The 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 Wigod's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Wigod accept?

Health plans from Select Health list Mark Wigod 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 Wigod was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.