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DR. MARK ANTHONY WEITZEL D.O.
NPI 1811257231
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Princeton, WV

Active since May 18, 2012PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
122 12TH ST STE A, PRINCETON, WV 24740(304) 487-3407(304) 487-1052 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 25, 2018, Apr 20, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Mark Anthony Weitzel D.o. NPPES

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

DR. MARK ANTHONY WEITZEL D.O. (NPI 1811257231) is an individual otolaryngology/facial plastic surgery provider in Princeton, West Virginia, licensed in West Virginia (3125) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Princeton Community Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1811257231
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. MARK ANTHONY WEITZELCredential: D.O.
Location Address122 12TH ST STE APrinceton, WV 24740-2312
Mailing AddressPo Box 1369Princeton, WV 24740-1369 · (304) 431-5168
Phone(304) 487-3407
Fax(304) 487-1052
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2012
Enumeration DateMay 18, 2012
Last NPPES UpdateSeptember 25, 20184 updates tracked since enumeration
✔ NPI 1811257231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License✔ Licensed in WV · 3125
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
122 12TH ST STE A, Princeton, WV 24740
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Anthony Weitzel D.o. 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 ID6709161169
PECOS Enrollment IDI20170905000518
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 17

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 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.
229 services164 patients
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.
206 services151 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
135 services105 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
123 services98 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 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.
64 services58 patients

Hospital Affiliations CMS Care Compare

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

Princeton Community Hospital

Acute Care Hospitals · Princeton, WV
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number510046
Location122 12th StreetPrinceton, WV 24740 · Mercer County
Emergency services Birthing friendly

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

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
100%34 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
100%36 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,394 patients5/55-star benchmark: 100%
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.

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.

Tracheal suction catheter, any type other than closed system, each A4624
DME-Other DME · category DE000N
1 supplier12 claims794 services$2.55 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier13 claims342 services$4.49 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 4

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

MRS. MELISSA ANN SHREWSBURY FNP-BC
Nurse Practitioner (Family)
122 12TH ST STE A
PRINCETON, WV 24740
Mercer County (304) 487-3407
DR. MARK LENTNER
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
122 12TH ST STE A
PRINCETON, WV 24740
Mercer County (304) 487-3407
DEBORAH P LENTNER P.A.
Physician Assistant (Medical)
122 12TH ST STE A
PRINCETON, WV 24740
Mercer County (304) 487-3407
LEE ELLIOTT SMITH MD
Otolaryngology (Facial Plastic Surgery)
122 12TH ST STE A
PRINCETON, WV 24740
Mercer County (304) 487-3407

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 Weitzel's NPI number?

The NPI number for Mark Weitzel is 1811257231. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Mark Weitzel located?

Mark Weitzel practices at 122 12th St Ste A, Princeton, WV 24740. The listed phone number is (304) 487-3407.

What is Mark Weitzel's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Mark Weitzel enrolled in Medicare?

Yes. Mark Weitzel 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 Weitzel accept?

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

According to CMS data, Mark Weitzel is affiliated with Princeton Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Weitzel was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.