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DR. MARK LEE WARDLE D.O.
NPI 1639274574
Family Medicine in Ivins, UT

Active since September 14, 2006PECOS Enrolled
255 E CENTER ST, IVINS, UT 84738(435) 222-1279 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mark Lee Wardle D.o. NPPES

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

DR. MARK LEE WARDLE D.O. (NPI 1639274574) is an individual family medicine provider in Ivins, Utah, licensed in Utah (5275545-1204) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639274574
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK LEE WARDLECredential: D.O.
Location Address255 E CENTER STIvins, UT 84738
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(435) 222-1279
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateOctober 23, 2018
✔ NPI 1639274574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in UT · 5275545-1204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
255 E CENTER ST, Ivins, UT 84738
Open in Google Maps ↗

Secondary Practice Locations 2

Location 151 East Main St.Moroni, UT 84646-0810 · Phone (435) 436-5250
Location 2577 S River RdSt George, UT 84790-2097 · Phone (435) 688-6388

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Lee Wardle D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mark Wardle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ihc Health Services Inc
3.7 mi
Family Medicine
544 S 400 E
St George, UT 84770
  • Reassigned Medicare billing, Utah enrollment
  • Also billed through NPI 1851599336 (Utah)
  • 3,691 clinicians in this Medicare group
NPI 1265069066 (801) 442-4558
Rocky Vista Health Center LLC
508 mi
Family Medicine
8401 S CHAMBERS RD
Englewood, CO 80112
  • Reassigned Medicare billing, Utah enrollment
  • 15 clinicians in this Medicare group
NPI 1366606709 (720) 875-2880

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

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 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84738 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
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 14

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

ANTONELLA LOZANO DO
Student in an Organized Health Care Education/Training Program
255 E CENTER ST
IVINS, UT 84738
Washington County (435) 222-1236
JAYSEN A HATCH
Student in an Organized Health Care Education/Training Program
255 E CENTER ST
IVINS, UT 84738
Washington County (435) 222-1236
SARAH DALE
Student in an Organized Health Care Education/Training Program
255 E CENTER ST
IVINS, UT 84738
Washington County (435) 222-1236
EMILY EISCHEN MARTIN
Student in an Organized Health Care Education/Training Program
255 E CENTER ST
IVINS, UT 84738
Washington County (435) 222-1236
KA WAI WU
Student in an Organized Health Care Education/Training Program
255 E CENTER ST
IVINS, UT 84738
Washington County (435) 222-1236
SERENA HAWATMEH
Student in an Organized Health Care Education/Training Program
255 E CENTER ST
IVINS, UT 84738
Washington County (801) 971-6218
BRADLEY THORNOCK
Health Educator
255 E CENTER ST
IVINS, UT 84738
Washington County (435) 218-3949
COLE NEWTON
Student in an Organized Health Care Education/Training Program
255 E CENTER ST
IVINS, UT 84738
Washington County (435) 222-1236

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 Wardle's NPI number?

The NPI number for Mark Wardle is 1639274574. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Mark Wardle located?

Mark Wardle practices at 255 E Center St, Ivins, UT 84738. The listed phone number is (435) 222-1279.

What is Mark Wardle's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Wardle enrolled in Medicare?

Yes. Mark Wardle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Wardle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wardle reassigns Medicare benefits to 2 organizations: Ihc Health Services Inc (St George, UT) and Rocky Vista Health Center LLC (Englewood, CO). Each 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 Wardle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Wardle was last updated on October 23, 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.