MARK D. HORNEFFER MD
NPI 1710928965
Internal Medicine in Wauwatosa, WI

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
75.75/100
CMS Quality Rating
10950 W CAPITOL DR, WAUWATOSA, WI 53222(414) 464-4460 Get Directions Write a Review

NPPES record last updated: June 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark D. Horneffer Md NPPES

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

MARK D. HORNEFFER MD (NPI 1710928965) is an individual internal medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (34632) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of University Of Michigan Medical School (1990).

NPPES Registry Identity

NPI1710928965
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK D. HORNEFFERCredential: MD
Location Address10950 W CAPITOL DRWauwatosa, WI 53222-1110
Mailing Address4425 N Port Washington Rd, Attn: Csmcp Clinic CredentialingGlendale, WI 53212-1082 · (414) 464-4460
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1990
Enumeration DateJune 9, 2006
Last NPPES UpdateJune 12, 2012
NPI 1710928965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 34632
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

10950 W CAPITOL DR, Wauwatosa, WI 53222

Other Identifiers 2

Medicaid31941300WI
Medicare UPINF58722WI

Accepted 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 D. Horneffer 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 ID3971530601
PECOS Enrollment IDI20050725000295
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 5

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 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.
292 services145 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
126 services126 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
81 services52 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.
41 services36 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

75.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.16
Promoting Interoperability76
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers21 claims90 services$6.46 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims66 services$15.95 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$42.38 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers15 claims86 services$1.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner
10950 W CAPITOL DR
WAUWATOSA, WI 53222
Internal Medicine
10950 W CAPITOL DR
WAUWATOSA, WI 53222
Physical Therapist
10950 W CAPITOL DR
WAUWATOSA, WI 53222
Internal Medicine
10950 W CAPITOL DR
WAUWATOSA, WI 53222
Clinical Nurse Specialist
10950 W CAPITOL DR
WAUWATOSA, WI 53222
Internal Medicine
10950 W CAPITOL DR
WAUWATOSA, WI 53222
Internal Medicine
10950 W CAPITOL DR
WAUWATOSA, WI 53222
Physical Therapist
10950 W CAPITOL DR
WAUWATOSA, WI 53222

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 Horneffer's NPI number?

The NPI number for Mark Horneffer is 1710928965. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Mark Horneffer located?

Mark Horneffer practices at 10950 W Capitol Dr, Wauwatosa, WI 53222. The listed phone number is (414) 464-4460.

What is Mark Horneffer's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Horneffer enrolled in Medicare?

Yes. Mark Horneffer 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 Horneffer accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mark Horneffer 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.

Is Mark Horneffer affiliated with any hospitals?

According to CMS data, Mark Horneffer is affiliated with Ascension Columbia St Mary's Hospital Milwaukee and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Mark Horneffer was last updated on June 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.