MARK THOMAS HEPWORTH
NPI 1487232302
Nurse Practitioner - Psychiatric/Mental Health in Spencer, IA

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
1200 1ST AVE E STE 1, SPENCER, IA 51301(712) 264-6228 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Thomas Hepworth NPPES

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

MARK THOMAS HEPWORTH (NPI 1487232302) is an individual psychiatric/mental health provider in Spencer, Iowa, licensed in Iowa (G162956) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Spencer Municipal Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1487232302
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMARK THOMAS HEPWORTH
Location Address1200 1ST AVE E STE 1Spencer, IA 51301-4330
Mailing Address1200 1st Ave E Ste 1Spencer, IA 51301-4330 · (712) 264-6228
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
NPI 1487232302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IA · G162956
1200 1ST AVE E STE 1, Spencer, IA 51301

Other Identifiers 1

OtherG162956IA · Arnp License Number

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 Thomas Hepworth 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 ID2567870710
PECOS Enrollment IDI20210428000627
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 2

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.
138 services58 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.
40 services24 patients

Hospital Affiliations CMS Care Compare

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

Spencer Municipal Hospital

Acute Care Hospitals · Spencer, IA
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160112
Location1200 1st Avenue EastSpencer, IA 51301 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51301 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Other Providers at the Same Location NPPES 13

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

Registered Nurse
1200 1ST AVE E STE 1
SPENCER, IA 51301
Nurse Practitioner (Psychiatric/Mental Health)
1200 1ST AVE E STE 1
SPENCER, IA 51301
Midwife
1200 1ST AVE E STE 1
SPENCER, IA 51301
Counselor (Mental Health)
1200 1ST AVE E STE 1
SPENCER, IA 51301
Registered Nurse
1200 1ST AVE E STE 1
SPENCER, IA 51301
Pharmacist
1200 1ST AVE E STE 1
SPENCER, IA 51301
Physical Therapist
1200 1ST AVE E STE 1
SPENCER, IA 51301
Nurse Anesthetist, Certified Registered
1200 1ST AVE E STE 1
SPENCER, IA 51301

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 Hepworth's NPI number?

The NPI number for Mark Hepworth is 1487232302. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Mark Hepworth located?

Mark Hepworth practices at 1200 1st Ave E Ste 1, Spencer, IA 51301. The listed phone number is (712) 264-6228.

What is Mark Hepworth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mark Hepworth enrolled in Medicare?

Yes. Mark Hepworth 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 Hepworth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 4 other insurers list Mark Hepworth 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 Hepworth affiliated with any hospitals?

According to CMS data, Mark Hepworth is affiliated with Spencer Municipal Hospital.

When was this NPI record last updated?

The NPPES record for Mark Hepworth was last updated on March 31, 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.