MARK DORAN CAMPBELL MD
NPI 1619918745
Orthopaedic Surgery in Sun City West, AZ

Q: What is Mark Campbell's NPI number?

The NPI number for Mark Campbell is 1619918745. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Q: What is Mark Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Campbell was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment

82.49/100

CMS Quality Rating

14520 W GRANITE VALLEY DR, STE 210, SUN CITY WEST, AZ 85375(623) 537-5600(866) 939-2673 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mark Doran Campbell Md NPPES

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

MARK DORAN CAMPBELL MD (NPI 1619918745) is an individual orthopaedic surgery provider in Sun City West, Arizona, licensed in Arizona (25777) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albany Medical College Of Union University (1995).

NPPES Registry Identity

NPI1619918745

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK DORAN CAMPBELLCredential: MD

Location Address14520 W GRANITE VALLEY DR, STE 210Sun City West, AZ 85375-5855

Mailing Address18444 N 25th Ave, Ste 310Phoenix, AZ 85023-1266 · (623) 537-5600 · Fax (866) 939-2673

Phone(623) 537-5600

Fax(866) 939-2673

Sole ProprietorNo

Medical School CMSAlbany Medical College Of Union UniversityGraduated 1995

Enumeration DateJune 9, 2006

Last NPPES UpdateMarch 18, 2025

NPPES CertifiedMarch 18, 2025

✔ NPI 1619918745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in AZ · 25777

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.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 25777 (AZ)

Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X · License 25777 (AZ)

14520 W GRANITE VALLEY DR, Sun City West, AZ 85375

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Secondary Practice Locations 2

Location 118444 N 25th Ave Ste 210Phoenix, AZ 85023-1264 · Phone (866) 974-2673 · Fax (866) 939-2673

Location 210484 W Thunderbird Blvd Ste 100Sun City, AZ 85351-6019 · Phone (866) 974-2673 · Fax (866) 939-2673

Other Identifiers 7

Other5550830003AZ · Medicare Nsc Peoria

Other5550830010AZ · Medicare Nsc Gilbert

OtherP00207821AZ · Rr Medicare

Other5550830009AZ · Medicare Nsc Az North

Other5550830001AZ · Medicare Nsc Scw

Other5550830007AZ · Medicare Nsc Dv

Medicaid401448AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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 Doran Campbell 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 ID6204873144

PECOS Enrollment IDI20050413000055

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 30

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.

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318

Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.

2,100 services25 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.

1,804 services178 patients

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329

Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.

1,050 services17 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.

469 services394 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.

322 services260 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.

319 services260 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.

246 services192 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

213 services182 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

148 services134 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.

143 services130 patients

Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month 99427

Principal Care Management (PCM) services focus on managing a single high-risk disease. It involves additional 30 minutes of clinical staff time per month, overseen by a healthcare professional. This includes monitoring your health, coordinating care, and developing a personalized treatment plan.

125 services91 patients

Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days 98977

This service involves providing a device that records and transmits data about your musculoskeletal system remotely. For 30 days, it tracks your body's musculoskeletal health, allowing for timely interventions if needed. It's a non-invasive way to monitor your health continuously.

119 services90 patients

Set-up and patient education for remote monitoring of therapy 98975

Remote therapy monitoring involves using digital devices to track your health and treatment progress from home. You'll receive a device to record health data, like heart rate or blood sugar. This data is shared with your healthcare team, allowing them to adjust your treatment as needed.

104 services102 patients

Computer-assisted surgery for muscle and bone procedure 20985

Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.

89 services87 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

87 services86 patients

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.

81 services81 patients

Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424

Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.

69 services68 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

50 services50 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

49 services38 patients

Replacement of knee joint on side of knee 27446

A knee joint replacement on one side, also known as unicompartmental knee replacement, is a surgical procedure where damaged parts of the knee joint are replaced with artificial parts. This helps to reduce pain and improve mobility. It's typically done under general anesthesia.

37 services34 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

34 services28 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

32 services31 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

28 services22 patients

X-ray of thigh bone, minimum 2 views 73552

An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.

20 services12 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

17 services17 patients

Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month 99425

Principal care management services involve managing a single high-risk disease. A qualified healthcare professional provides this service, dedicating additional 30 minutes each month to monitor and manage your condition. It's a continuous effort to ensure optimal health for you.

17 services14 patients

X-ray of both hips, 3-4 views 73522

An X-ray of both hips with 3-4 views is a safe imaging procedure. It involves capturing multiple pictures of your hip joints from different angles. This helps in diagnosing conditions like arthritis or fractures. You'll need to stay still during the process for clear images.

16 services16 patients

Revision of thigh and lower leg bone components of total knee joint prosthesis 27487

This procedure involves replacing parts of your knee joint prosthesis that have worn out or become damaged. Specifically, components in your thigh and lower leg bones are revised to improve joint function and alleviate discomfort.

15 services14 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

13 services13 patients

Manipulation of knee joint under anesthesia 27570

Manipulation of the knee joint under anesthesia is a procedure done to improve knee mobility. You are put to sleep and the doctor moves your knee in different directions to break up scar tissue. This helps to increase range of motion and reduce stiffness.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85375 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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.

82.49/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.09

Promoting Interoperability

100

Improvement Activities

Cost

68.54

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

52%520 patients3/55-star benchmark: 87%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

96%28 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%2,628 patients4/55-star benchmark: 100%

e-Prescribing

97%265 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%1,283 patients1/55-star benchmark: 100%

Osteoporosis Management in Women Who Had a Fracture

12%33 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

99%1,918 patients5/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%2,502 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,854 patients

Patients screened: 100% · 1,854 patients

99%137 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

97%1,368 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.04%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

2%720 patients1/55-star benchmark: 98%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%54 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,338 patients

Patients totalRate: 2% · 1,339 patients

2%1,339 patients4/55-star benchmark: 100%

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.

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Other Providers at the Same Location NPPES 15

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

BRADFORD GIBSON TENNEY PA-C

Physician Assistant (Surgical)

14520 W GRANITE VALLEY DR, SUITE 210
SUN CITY WEST, AZ 85375

Maricopa County (623) 537-5600

STEVEN CALEB WALLS PT

Physical Therapist

14520 W GRANITE VALLEY DR, SUITE 110
SUN CITY WEST, AZ 85375

Maricopa County (866) 974-2673

JOHN ANDREW BROWN MD

Orthopaedic Surgery (Sports Medicine)

14520 W GRANITE VALLEY DR, STE 210
SUN CITY WEST, AZ 85375

Maricopa County (623) 537-5600

MICHAEL F. ESBER DPM PC

Podiatrist (Foot & Ankle Surgery)

14520 W GRANITE VALLEY DR, SUITE 210
SUN CITY WEST, AZ 85375

Maricopa County (623) 546-4930

CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION

Physical Therapist

14520 W GRANITE VALLEY DR, STE 110
SUN CITY WEST, AZ 85375

Maricopa County (623) 537-5600

ARASH ARAGHI D.O.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

14520 W GRANITE VALLEY DR, STE 210
SUN CITY WEST, AZ 85375

Maricopa County (623) 537-5600

WHITNEY R WERNER PA

Physician Assistant (Surgical)

14520 W GRANITE VALLEY DR, SUITE 210
SUN CITY WEST, AZ 85375

Maricopa County (623) 537-5600

CENTER FOR ORTHOPEDIC RESEARCH AND EDUCATION, INC

Durable Medical Equipment & Medical Supplies

14520 W GRANITE VALLEY DR, SUITE 110
SUN CITY WEST, AZ 85375

Maricopa County (866) 974-2673

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 Campbell's NPI number?

The NPI number for Mark Campbell is 1619918745. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Mark Campbell located?

Mark Campbell practices at 14520 W Granite Valley Dr Ste 210, Sun City West, AZ 85375. The listed phone number is (623) 537-5600.

What is Mark Campbell's specialty?

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

Is Mark Campbell enrolled in Medicare?

Yes. Mark Campbell 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 Campbell accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Mark Campbell 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 Campbell was last updated on March 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.