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

Q: 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.

Q: What is Mark Wardle's specialty?

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

Q: 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.

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: August 02, 2026.

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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