MARK D. WIGOD, MD, PA
NPI 1679751770
Surgery - Plastic and Reconstructive Surgery in Meridian, ID
About Mark D. Wigod, Md, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK D. WIGOD, MD, PA (NPI 1679751770) is a healthcare organization registered as a plastic and reconstructive surgery in Meridian, Idaho and active in the NPI registry since January 2008. The organization lists Mark David Wigod, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mark D. Wigod, Md, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark D. Wigod, MD, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 D. Wigod, MD, PA's NPI number?
The NPI number for Mark D. Wigod, MD, PA is 1679751770. It was assigned to this organization in the NPPES registry on January 31, 2008.
Where is Mark D. Wigod, MD, PA located?
Mark D. Wigod, MD, PA is located at 3630 E Louise Dr, Meridian, ID 83642. The listed phone number is (208) 377-9515.
What is Mark D. Wigod, MD, PA's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.
Is Mark D. Wigod, MD, PA enrolled in Medicare?
Yes. Mark D. Wigod, MD, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mark D. Wigod, MD, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Mark D. Wigod, MD, PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mark D. Wigod, MD, PA was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mark D. Wigod, Md, Pa · NPI 1679751770
Plastic and Reconstructive Surgery organization in Meridian, Idaho. Organization record, active in the CMS NPPES registry since January 31, 2008.
## Identity
- **NPI:** 1679751770 (Entity type: Organization)
- **Enumerated:** January 31, 2008
- **Primary specialty:** Surgery - Plastic and Reconstructive Surgery · taxonomy 2086S0122X
- **Organization subpart:** No
- **Authorized official:** Mark Wigod, PRESIDENT
## Practice location
- **Address:** 3630 E LOUISE DR, Meridian, ID 83642-7975
- **Phone:** (208) 377-9515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Plastic and Reconstructive Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2008
- **Other identifiers:** Medicare PIN 1374083 (ID); Medicare UPIN H44448
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Source: [NPI Profile](https://npiprofile.com/npi/1679751770) · Data from the CMS NPPES public registry.