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MARK KENNETH DETWEILER M.D.
NPI 1548344583
Specialist in Londonderry, NH

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
1B COMMONS DR, UNIT 9A, LONDONDERRY, NH 03053(603) 818-4712(603) 421-6899 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Kenneth Detweiler M.d. NPPES

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

MARK KENNETH DETWEILER M.D. (NPI 1548344583) is an individual specialist in Londonderry, New Hampshire, licensed in New Hampshire (6919) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (1979).

NPPES Registry Identity

NPI1548344583
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK KENNETH DETWEILERCredential: M.D.
Location Address1B COMMONS DR, UNIT 9ALondonderry, NH 03053-3441
Mailing Address1b Commons Dr, Unit 9aLondonderry, NH 03053-3441 · (603) 818-4712 · Fax (603) 421-6899
Phone(603) 818-4712
Fax(603) 421-6899
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1979
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 24, 2019
✔ NPI 1548344583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NH · 6919
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 6919 (NH)
1B COMMONS DR, Londonderry, NH 03053
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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 Kenneth Detweiler M.d. 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 ID5597776112
PECOS Enrollment IDI20060511000007
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 3

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.
75 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
15%109 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
63%205 patients3/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
63%797 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%325 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%664 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 32% · 241 patients
30%241 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

DONNA M. EYSSI-DOW LICSW
Social Worker (Clinical)
1B COMMONS DR, SUITE #7
LONDONDERRY, NH 03053
Rockingham County (603) 560-0695
DR. JOHN P BURKE DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
1B COMMONS DR, SUITE 6
LONDONDERRY, NH 03053
Rockingham County (603) 434-4914
LONDONDERRY GASTROENTEROLOGY ASSOCIATES PA
Specialist
1B COMMONS DR, UNIT 9A
LONDONDERRY, NH 03053
Rockingham County (603) 818-4712

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 Detweiler's NPI number?

The NPI number for Mark Detweiler is 1548344583. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Mark Detweiler located?

Mark Detweiler practices at 1B Commons Dr Unit 9A, Londonderry, NH 03053. The listed phone number is (603) 818-4712.

What is Mark Detweiler's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Detweiler enrolled in Medicare?

Yes. Mark Detweiler 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 Detweiler accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Mark Detweiler 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 Detweiler was last updated on April 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.