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MARK R WADDELL DO
NPI 1780741066
Family Medicine in Lewisburg, WV

Active since January 03, 2007PECOS Enrolled
90.11/100
CMS Quality Rating
1464 JEFFERSON ST N, LEWISBURG, WV 24901(304) 645-3220(844) 479-4545 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2022, Apr 6, 2022, Nov 15, 2021 and 1 more (4 updates tracked since 2021).

About Mark R Waddell Do NPPES

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

MARK R WADDELL DO (NPI 1780741066) is an individual family medicine provider in Lewisburg, West Virginia, licensed in West Virginia (1317) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Hospital Alleghany, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780741066
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK R WADDELLCredential: DO
Location Address1464 JEFFERSON ST NLewisburg, WV 24901-1380
Mailing Address1464 Jefferson St NLewisburg, WV 24901-1380 · (304) 645-3220 · Fax (844) 479-4545
Phone(304) 645-3220
Fax(844) 479-4545
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 1990
Enumeration DateJanuary 3, 2007
Last NPPES UpdateSeptember 21, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1780741066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 1317
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 1317 (WV)
1464 JEFFERSON ST N, Lewisburg, WV 24901
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Hoylman DrGassaway, WV 26624-9321 · Phone (304) 364-1060
Location 21320 Maplewood AveRonceverte, WV 24970-8016 · Phone (304) 645-3220 · Fax (844) 479-4545

Other Identifiers 1

Medicaid0044268001WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark R Waddell Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719979038
PECOS Enrollment IDI20040330000679
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

5

Medicare enrollment records show Mark Waddell reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Virginia School Of Osteopathic Medicine Clinic Inc D/B/A Robert C. Byrd Clinic
Same address
Family Medicine
1464 JEFFERSON ST N
Lewisburg, WV 24901
  • Reassigned Medicare billing, West Virginia enrollment
  • Medicare enrollment name: West Virginia School Of Osteopathic Medicine Clinic Inc
  • Also billed through NPI 1013496991 (West Virginia)
  • 43 clinicians in this Medicare group
NPI 1871539296 (304) 645-3220
Camc Greenbrier Valley Medical Center Inc
2.9 mi
Cardiovascular Disease
1320 MAPLEWOOD AVE
Ronceverte, WV 24970
  • Reassigned Medicare billing, West Virginia enrollment
  • 142 clinicians in this Medicare group
NPI 1588373872 (304) 647-6006
Charleston Area Medical Center, Inc.
2.9 mi
Hospitalist
1320 MAPLEWOOD AVE
Ronceverte, WV 24970
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1972125995 (304) 793-2220
Health Care Alliance, Inc.
40 mi
Emergency Medicine
105 S EISENHOWER DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 183 clinicians in this Medicare group
NPI 1730128760 (304) 256-6600
Greenbrier Emergency Services, Inc.
  • Reassigned Medicare billing, West Virginia enrollment
  • 207 clinicians in this Medicare group
No phone listed

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 4

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
32 services17 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
18 services18 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
15 services15 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490126
LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County
Emergency services

Camc Greenbrier Valley Medical Center, Inc

Acute Care Hospitals · Ronceverte, WV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number510002
Location1320 Maplewood AvenueRonceverte, WV 24970 · Greenbrier County
Emergency services Birthing friendly

Summersville Regional Medical Center

Critical Access Hospitals · Summersville, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511322
Location400 Fairview Heights RoadSummersville, WV 26651 · Nicholas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24901 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$21.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$119.05 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 20

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

JENNIFER NICOLE ROSE D.O.
Family Medicine
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
DR. PAMELA MARIE DEWILDE DO (AS OF 6/17/18)
Neuromusculoskeletal Medicine & OMM
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE CLINIC INC
Clinic/Center (Rural Health)
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
THERESA KATHERINE STEPANEK DO
Family Medicine
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
AMY RUBRICH DO
Neuromusculoskeletal Medicine & OMM
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
HEIDI MOLGA
Neuromusculoskeletal Medicine & OMM
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
EMILY L WILEY FNP-C
Nurse Practitioner (Family)
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220
KAYLA IRIS CUADROS DO
Neuromusculoskeletal Medicine & OMM
1464 JEFFERSON ST N
LEWISBURG, WV 24901
Greenbrier County (304) 645-3220

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 Waddell's NPI number?

The NPI number for Mark Waddell is 1780741066. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Mark Waddell located?

Mark Waddell practices at 1464 Jefferson St N, Lewisburg, WV 24901. The listed phone number is (304) 645-3220.

What is Mark Waddell's specialty?

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

Is Mark Waddell enrolled in Medicare?

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

Which organizations bill Medicare for Mark Waddell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Waddell reassigns Medicare benefits to 5 organizations: West Virginia School Of Osteopathic Medicine Clinic Inc D/B/A Robert C. Byrd Clinic (Lewisburg, WV), Camc Greenbrier Valley Medical Center Inc (Ronceverte, WV), Charleston Area Medical Center, Inc. (Ronceverte, WV), Health Care Alliance, Inc. (Beckley, WV) and Greenbrier Emergency Services, Inc. (WV). 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 Waddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Waddell accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Mark Waddell 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 Waddell affiliated with any hospitals?

According to CMS data, Mark Waddell is affiliated with Lewisgale Hospital Alleghany, Camc Greenbrier Valley Medical Center, Inc and Summersville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Waddell was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.