MR. MARK DOUGLAS MOTTONEN
NPI 1861653784
Social Worker - Clinical in S Salt Lake, UT

Active since June 23, 2008PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
451 BISHOP FEDERAL LN, S SALT LAKE, UT 84115(801) 487-7557(801) 468-6838 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Mark Douglas Mottonen NPPES

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

MR. MARK DOUGLAS MOTTONEN (NPI 1861653784) is an individual clinical provider in S Salt Lake, Utah, licensed in Utah (139850-3501) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1861653784
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK DOUGLAS MOTTONEN
Location Address451 BISHOP FEDERAL LNS Salt Lake, UT 84115-2357
Mailing Address451 Bishop Federal LnS Salt Lake, UT 84115-2357 · (801) 487-7557 · Fax (801) 468-6838
Fax(801) 468-6838
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 23, 2008
Last NPPES UpdateNovember 30, 2021
NPPES CertifiedNovember 30, 2021
NPI 1861653784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in UT · 139850-3501
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

451 BISHOP FEDERAL LN, S Salt Lake, UT 84115

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

Mr. Mark Douglas Mottonen 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 ID2163445982
PECOS Enrollment IDI20060107000085
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84115 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
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.57
Promoting Interoperability100
Improvement Activities40

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.

Psychiatric Hospital
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Medical Genetics (Ph.D. Medical Genetics)
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Social Worker (Clinical)
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Clinic/Center (Sleep Disorder Diagnostic)
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Skilled Nursing Facility
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Skilled Nursing Facility
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Religious Nonmedical Health Care Institution
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115
Social Worker (Clinical)
451 BISHOP FEDERAL LN
SALT LAKE CITY, UT 84115

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 Mottonen's NPI number?

The NPI number for Mark Mottonen is 1861653784. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Mark Mottonen located?

Mark Mottonen practices at 451 Bishop Federal Ln, S Salt Lake, UT 84115. The listed phone number is (801) 487-7557.

What is Mark Mottonen's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mark Mottonen enrolled in Medicare?

Yes. Mark Mottonen 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.

When was this NPI record last updated?

The NPPES record for Mark Mottonen was last updated on November 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.