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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARK WYANT
NPI 1932035177
Internal Medicine in Surprise, AZ

Active since June 23, 2026PECOS Enrolled
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374(602) 478-3100 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Wyant NPPES

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

MARK WYANT (NPI 1932035177) is an individual internal medicine provider in Surprise, Arizona, licensed in Arizona (R5010) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932035177
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK WYANT
Location Address13995 W STATLER BLVD STE 200Surprise, AZ 85374-5503
Mailing Address13995 W Statler Blvd Ste 200Surprise, AZ 85374-5503 · (602) 478-3100
Phone(602) 478-3100
Sole ProprietorYes
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1932035177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · R5010
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13995 W STATLER BLVD STE 200, Surprise, AZ 85374
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 85374 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

GISELLE MARY ARIAS ORTIZ MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
FNU SWATI
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
DR. DANNIEL CHRISTOPHER SANCHEZ MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
GURVINDER SINGH DHALIWAL M.D.
Family Medicine
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (623) 478-3100
ERNESTO INIGUEZ JR. MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
BHARATH DURAISAMY SWAMI KANNAN
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 349-9166
MUSAB KHAN MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
GARIN B BERGESON DO
Family Medicine (Sports Medicine)
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (623) 876-3870

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 Wyant's NPI number?

The NPI number for Mark Wyant is 1932035177. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Mark Wyant located?

Mark Wyant practices at 13995 W Statler Blvd Ste 200, Surprise, AZ 85374. The listed phone number is (602) 478-3100.

What is Mark Wyant's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Wyant enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Wyant was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.