MARK FETTER M.D.
NPI 1568427490
Specialist in Prescott, AZ

Q: What is Mark Fetter's NPI number?

The NPI number for Mark Fetter is 1568427490. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Mark Fetter's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Fetter was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301(928) 777-0200(928) 443-1117 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mark Fetter M.d. NPPES

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

MARK FETTER M.D. (NPI 1568427490) is an individual specialist in Prescott, Arizona, licensed in Arizona (24439) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1988).

NPPES Registry Identity

NPI1568427490

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMARK FETTERCredential: M.D.

Location Address1615 PETROGLYPH POINT DRPrescott, AZ 86301-6539

Mailing Address1615 Petroglyph Point DrPrescott, AZ 86301-6539 · (928) 777-0200 · Fax (928) 443-1117

Phone(928) 777-0200

Fax(928) 443-1117

Sole ProprietorNo

Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1988

Enumeration DateApril 20, 2006

Last NPPES UpdateDecember 10, 2018

✔ NPI 1568427490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 24439

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.

1615 PETROGLYPH POINT DR, Prescott, AZ 86301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Fetter 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 ID749173482

PECOS Enrollment IDI20040205000786

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 Fetter reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark D Fetter MD PC

Same address

Hand Surgery

1615 PETROGLYPH POINT DR
Prescott, AZ 86301

Reassigned Medicare billing, Arizona enrollment

NPI 1124107206 (480) 985-1093

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

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

78 services78 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.

21 services18 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

18 services11 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

Clinical Information Reconciliation

For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.

79%136 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%230 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…

96%319 patients4/55-star benchmark: 100%

Provide Patient Access

For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…

42%319 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…

4%319 patients1/55-star benchmark: 77%

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 4

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

MALLARO ANESTHESIA LLC

Nurse Anesthetist, Certified Registered

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (325) 675-6466

MARK D FETTER MD PC

Orthopaedic Surgery (Hand Surgery)

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (480) 985-1093

ADVANCED PLASTIC SURGERY CENTER, L.L.C.

Clinic/Center (Ambulatory Surgical)

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (928) 777-0200

PHOENIX ANESTHESIA SPECIALISTS, LLC

Nurse Anesthetist, Certified Registered

1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Yavapai County (325) 660-5535

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 Fetter's NPI number?

The NPI number for Mark Fetter is 1568427490. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Mark Fetter located?

Mark Fetter practices at 1615 Petroglyph Point Dr, Prescott, AZ 86301. The listed phone number is (928) 777-0200.

What is Mark Fetter's specialty?

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

Is Mark Fetter enrolled in Medicare?

Yes. Mark Fetter 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.

Which organization bills Medicare for Mark Fetter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fetter reassigns Medicare benefits to Mark D Fetter MD PC (Prescott, AZ). 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 Fetter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Fetter accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Mark Fetter 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 Fetter was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.