MARK T SZMANDA MD
NPI 1912060971
Psychiatry & Neurology - Neurology in Rhinelander, WI
About Mark T Szmanda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK T SZMANDA MD (NPI 1912060971) is an individual neurology provider in Rhinelander, Wisconsin, licensed in Wisconsin (35650) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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 T Szmanda 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aspirus Rhinelander Hospital
Acute Care Hospitals · Rhinelander, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
RHINELANDER, WI 54501
RHINELANDER, WI 54501
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 Szmanda's NPI number?
The NPI number for Mark Szmanda is 1912060971. It was assigned to this individual provider in the NPPES registry on December 19, 2006.
Where is Mark Szmanda located?
Mark Szmanda practices at 2251 N Shore Dr, Rhinelander, WI 54501. The listed phone number is (715) 361-2000.
What is Mark Szmanda's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Mark Szmanda enrolled in Medicare?
Yes. Mark Szmanda 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 Szmanda accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Medica and Security Health Plan list Mark Szmanda 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 Szmanda affiliated with any hospitals?
According to CMS data, Mark Szmanda is affiliated with Aspirus Rhinelander Hospital.
When was this NPI record last updated?
The NPPES record for Mark Szmanda was last updated on July 11, 2019. 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.
