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MARK D PRINCE MD
NPI 1790708568
Family Medicine in Lusk, WY

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
921 S BALLANCEE AVE, LUSK, WY 82225(307) 334-4000 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark D Prince Md NPPES

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

MARK D PRINCE MD (NPI 1790708568) is an individual family medicine provider in Lusk, Wyoming, licensed in Wyoming (2848A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Mother Frances Hospital, and maintains a secondary practice location in Cheyenne.

NPPES Registry Identity

NPI1790708568
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK D PRINCECredential: MD
Location Address921 S BALLANCEE AVELusk, WY 82225
Mailing AddressPo Box 780Lusk, WY 82225-0780 · (307) 334-4000
Phone(307) 334-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateJuly 25, 2006
Last NPPES UpdateApril 7, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1790708568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WY · 2848A
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.
921 S BALLANCEE AVE, Lusk, WY 82225
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Secondary Practice Location 1

Location 12030 Bluegrass CirCheyenne, WY 82009-7328 · Phone (307) 635-3500 · Fax (307) 635-2199

Other Identifiers 5

Other110187400WY · Railroad Medicare
Other00356WY · Winhealth Partners
Medicaid114388300WY
Other82009A032WY · Wps Triwest
Other308045WY · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.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 Prince 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 ID1557361359
PECOS Enrollment IDI20061229000169
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Cheyenne Regional Medical Center

Acute Care Hospitals · Cheyenne, WY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number530014
Location214 East 23rd StreetCheyenne, WY 82001 · Laramie County
Emergency services Birthing friendly

Niobrara County Hospital District

Critical Access Hospitals · Lusk, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531314
Location921 South Ballancee AvenueLusk, WY 82225 · Niobrara County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82225 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
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$99.46 typical visit price
range $18.19 – $139.32
Typical copayment $24.86 (range $4.54 – $34.83)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
55%130 patients1/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
19%26 patients1/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
14%21 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
69%26 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%26 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
8%26 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. KAREN ANN ALEXANDER DNP
Nurse Practitioner (Family)
921 S BALLANCEE AVE
LUSK, WY 82225
Niobrara County (307) 334-4000
JOLEEN E FALKENBURG MD
Family Medicine
921 S BALLANCEE AVE
LUSK, WY 82225
Niobrara County (307) 334-4000

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 Prince's NPI number?

The NPI number for Mark Prince is 1790708568. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mark Prince located?

Mark Prince practices at 921 S Ballancee Ave, Lusk, WY 82225. The listed phone number is (307) 334-4000.

What is Mark Prince's specialty?

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

Is Mark Prince enrolled in Medicare?

Yes. Mark Prince 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 Prince accept?

Health plans from Blue Cross Blue Shield of Wyoming list Mark Prince 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 Prince affiliated with any hospitals?

According to CMS data, Mark Prince is affiliated with Christus Mother Frances Hospital, Cheyenne Regional Medical Center and Niobrara County Hospital District.

When was this NPI record last updated?

The NPPES record for Mark Prince was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.