MARK A WIKENHEISER M.D.
NPI 1629161757
Orthopaedic Surgery in Fairmont, MN

Q: What is Mark Wikenheiser's NPI number?

The NPI number for Mark Wikenheiser is 1629161757. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Mark Wikenheiser'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 Wikenheiser was last updated on July 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 October 02, 2006PECOS EnrolledAccepts Medicare Assignment

800 MEDICAL CENTER DR, FAIRMONT, MN 56031(507) 238-8100 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 26, 2024, Sep 17, 2020, Dec 17, 2018 (3 updates tracked since 2018).

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About Mark A Wikenheiser M.d. NPPES

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

MARK A WIKENHEISER M.D. (NPI 1629161757) is an individual orthopaedic surgery provider in Fairmont, Minnesota, licensed in Wisconsin (40564) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and maintains a secondary practice location in La Crosse.

NPPES Registry Identity

NPI1629161757

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARK A WIKENHEISERCredential: M.D.

Location Address800 MEDICAL CENTER DRFairmont, MN 56031-4575

Mailing Address800 West Ave SLa Crosse, WI 54601-8806 · (608) 392-9876 · Fax (608) 392-3955

Phone(507) 238-8100

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1987

Enumeration DateOctober 2, 2006

Last NPPES UpdateJuly 26, 20243 updates tracked since enumeration

NPPES CertifiedJuly 26, 2024

✔ NPI 1629161757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in WI · 40564

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.

800 MEDICAL CENTER DR, Fairmont, MN 56031

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Secondary Practice Location 1

Location 1800 West Ave SLA Crosse, WI 54601-8806 · Phone (608) 392-9876 · Fax (608) 392-3955

Other Identifiers 7

Other07246WIMN · Bcbs Mn Hosp

Other0900551MN · Medica

OtherHP14690MN · Healthpartners

Medicaid32555900WI

Medicaid493363000MN

Other1004260WI · Preferred One

Other072J6WIMN · Bcbs Mn Pro Fee

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 A Wikenheiser 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 ID4082745146

PECOS Enrollment IDI20240925004179

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 9

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.

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.

107 services75 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.

105 services81 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.

78 services59 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

64 services55 patients

Aspiration and/or injection of fluid from large joint 20610

51 services39 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.

41 services41 patients

Hospital Affiliations CMS Care Compare 3

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

Musc Medical Center

Acute Care Hospitals · Charleston, SC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number420004

Location169 Ashley AveCharleston, SC 29425 · Charleston County

Emergency services Birthing friendly

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC

OwnershipVoluntary non-profit - Private

CMS Certification Number420072

Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County

Emergency services

Allendale County Hospital

Critical Access Hospitals · Fairfax, SC

OwnershipGovernment - Local

CMS Certification Number421300

Location1787 Allendale Fairfax RdFairfax, SC 29827 · Allendale County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56031 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

DAVID KRUSEMARK CRNA

Nurse Anesthetist, Certified Registered