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MARK WANTAJA DO
NPI 1750907143
Internal Medicine in Norton, VA

Active since June 22, 2020PECOS EnrolledAccepts Medicare Assignment
87.22/100
CMS Quality Rating
96 15TH ST NW, NORTON, VA 24273(276) 679-3488 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2023, Jun 22, 2020 (2 updates tracked since 2020).

About Mark Wantaja Do NPPES

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

MARK WANTAJA DO (NPI 1750907143) is an individual internal medicine provider in Norton, Virginia, licensed in Virginia (0116034298) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1750907143
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK WANTAJACredential: DO
Location Address96 15TH ST NWNorton, VA 24273-1625
Mailing Address110 Clinton Ave EBig Stone Gap, VA 24219-2924 · (360) 355-4215
Phone(276) 679-3488
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2020
Enumeration DateJune 22, 2020
Last NPPES UpdateJuly 19, 20232 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1750907143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in VA · 0116034298✔ Licensed in WA · OP61432898
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.
96 15TH ST NW, Norton, VA 24273
Open in Google Maps ↗

Secondary Practice Location 1

Location 11615 Delaware StLongview, WA 98632-2367 · Phone (360) 501-3601 · Fax (360) 442-6843

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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 Wantaja Do 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 ID7911325121
PECOS Enrollment IDI20230804002388
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
169 services85 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
105 services99 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services57 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services47 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
44 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24273 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

87.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.5
Promoting Interoperability100
Improvement Activities40
Cost68.9

Other Providers at the Same Location NPPES 13

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

MR. EDWARD B BOYD CRNA
Nurse Anesthetist, Certified Registered
96 15TH ST NW, SUITE 104
NORTON, VA 24273
Norton City (276) 679-8890
DR. JODY B. BENTLEY D.O.
Internal Medicine
96 15TH ST NW, SUITE 111
NORTON, VA 24273
Norton City (276) 439-1860
COMMUNITY PHYSICIANS SERVICES CORPORATION
Clinic/Center
96 15TH ST NW, STE 104
NORTON, VA 24273
Norton City (276) 679-8890
MARIUM ALI MD
Family Medicine
96 15TH ST NW
NORTON, VA 24273
Norton City (276) 679-0321
NORTON COMMUNITY PHYSICIANS SERVICES LLC
Orthopaedic Surgery
96 15TH ST NW, SUITE 111
NORTON, VA 24273
Norton City (276) 439-1463
KENT PAUL VANBUECKEN M.D.
Orthopaedic Surgery
96 15TH ST NW, SUITE 111
NORTON, VA 24273
Norton City (276) 439-1463
DR. KENNETH WAYNE SMITH III DO
Internal Medicine
96 15TH ST NW
NORTON, VA 24273
Norton City (276) 679-3488
COMMUNITY PHYSICIANS SERVICES CORPORATION
Clinic/Center (Medical Specialty)
96 15TH ST NW, SUITE 111
NORTON, VA 24273
Norton City (276) 679-7986

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 Wantaja's NPI number?

The NPI number for Mark Wantaja is 1750907143. It was assigned to this individual provider in the NPPES registry on June 22, 2020.

Where is Mark Wantaja located?

Mark Wantaja practices at 96 15th St NW, Norton, VA 24273. The listed phone number is (276) 679-3488.

What is Mark Wantaja's specialty?

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

Is Mark Wantaja enrolled in Medicare?

Yes. Mark Wantaja 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 Wantaja accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mark Wantaja 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 Wantaja affiliated with any hospitals?

According to CMS data, Mark Wantaja is affiliated with Peacehealth St John Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Wantaja was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.