MARK A PITNER MD
NPI 1578595682
Orthopaedic Surgery in Elkhorn, NE

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
222 N 192ND ST, ELKHORN, NE 68022(402) 390-4111(402) 390-4115 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark A Pitner Md NPPES

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

MARK A PITNER MD (NPI 1578595682) is an individual orthopaedic surgery provider in Elkhorn, Nebraska, licensed in Nebraska (18613) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Jennie Edmundson, and is a graduate of University Of Nebraska College Of Medicine (1987).

NPPES Registry Identity

NPI1578595682
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARK A PITNERCredential: MD
Location Address222 N 192ND STElkhorn, NE 68022-5363
Mailing Address8005 Farnam Dr Ste 305Omaha, NE 68114-3426 · (402) 390-4111 · Fax (402) 390-4115
Fax(402) 390-4115
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1987
Enumeration DateJuly 7, 2006
Last NPPES UpdateDecember 13, 2023
NPPES CertifiedDecember 13, 2023
NPI 1578595682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in NE · 18613 Licensed in IA · 29076
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
222 N 192ND ST, Elkhorn, NE 68022

Other Identifiers 3

Medicaid1578595682IA
Medicaid47068731742NE
Medicaid47068731751NE

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 A Pitner Md 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 ID42225575
PECOS Enrollment IDI20060220000477, I20210405001414
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 15

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.

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.
956 services69 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
102 services69 patients
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.
94 services79 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
54 services45 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.
54 services41 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
48 services48 patients

Hospital Affiliations CMS Care Compare 3

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

Methodist Jennie Edmundson

Acute Care Hospitals · Council Bluffs, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160047
Location933 East Pierce StreetCouncil Bluffs, IA 51503 · Pottawattamie County
Emergency services Birthing friendly

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Midwest Surgical Hospital LLC

Acute Care Hospitals · Omaha, NE
OwnershipPhysician
CMS Certification Number280131
Location7915 Farnam DriveOmaha, NE 68114 · Douglas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68022 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
Most-billed visit code 99213
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 20

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

Occupational Therapist
222 N 192ND ST
ELKHORN, NE 68022
Physical Therapist
222 N 192ND ST
ELKHORN, NE 68022
Orthopaedic Surgery (Hand Surgery)
222 N 192ND ST
ELKHORN, NE 68022
Orthopaedic Surgery (Sports Medicine)
222 N 192ND ST
ELKHORN, NE 68022
Physician Assistant (Surgical)
222 N 192ND ST
ELKHORN, NE 68022
Physician Assistant (Surgical)
222 N 192ND ST
ELKHORN, NE 68022
Physician Assistant (Surgical)
222 N 192ND ST
ELKHORN, NE 68022
Physician Assistant (Surgical)
222 N 192ND ST
ELKHORN, NE 68022

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 Pitner's NPI number?

The NPI number for Mark Pitner is 1578595682. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Mark Pitner located?

Mark Pitner practices at 222 N 192nd St, Elkhorn, NE 68022. The listed phone number is (402) 390-4111.

What is Mark Pitner's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Pitner enrolled in Medicare?

Yes. Mark Pitner 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 Pitner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Mark Pitner 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 Pitner affiliated with any hospitals?

According to CMS data, Mark Pitner is affiliated with Methodist Jennie Edmundson, The Nebraska Methodist Hospital and Midwest Surgical Hospital LLC.

When was this NPI record last updated?

The NPPES record for Mark Pitner was last updated on December 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.