DR. MARK A FLINNER MD
NPI 1942370879
Family Medicine in Worland, WY

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
79.42/100
CMS Quality Rating
1405 HOWELL AVE, WORLAND, WY 82401(307) 347-2555(307) 347-9831 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark A Flinner Md NPPES

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

DR. MARK A FLINNER MD (NPI 1942370879) is an individual family medicine provider in Worland, Wyoming, licensed in Wyoming (4625A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Washakie Medical Center, and is a graduate of University Of Utah School Of Medicine (1990).

NPPES Registry Identity

NPI1942370879
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK A FLINNERCredential: MD
Location Address1405 HOWELL AVEWorland, WY 82401
Mailing Address1405 Howell AveWorland, WY 82401 · (307) 347-2555 · Fax (307) 347-9831
Fax(307) 347-9831
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1990
Enumeration DateNovember 8, 2006
Last NPPES UpdateAugust 11, 2020
NPPES CertifiedAugust 11, 2020
NPI 1942370879 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 · 4625A
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.
1405 HOWELL AVE, Worland, WY 82401

Other Identifiers 5

Medicaid120726100WY
Other836000025-24WY · Tricare
Medicaid104499100WY
OtherP00215311WY · Rr Medicare
Other05726001WY · Blue Cross Blue Shield

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

Dr. Mark A Flinner 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 ID5092773200
PECOS Enrollment IDI20041220000898
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 12

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.
532 services251 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.
185 services138 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
94 services13 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
86 services74 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
68 services66 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
60 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Washakie Medical Center

Critical Access Hospitals · Worland, WY
OwnershipGovernment - Local
CMS Certification Number531306
Location400 South 15th StreetWorland, WY 82401 · Washakie County
Emergency services

Cody Regional Health

Critical Access Hospitals · Cody, WY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number531312
Location707 Sheridan AvenueCody, WY 82414 · Park County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82401 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.

79.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost31.42

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers23 claims72 services$4.95 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers39 claims39 services$108.38 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers38 claims77 services$40.75 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers12 claims50 services$24.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers11 claims11 services$68.15 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers33 claims33 services$21.96 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 5

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

Clinic/Center (Multi-Specialty)
1405 HOWELL AVE
WORLAND, WY 82401
Family Medicine
1405 HOWELL AVE
WORLAND, WY 82401
Physician Assistant
1405 HOWELL AVE
WORLAND, WY 82401
Family Medicine
1405 HOWELL AVE
WORLAND, WY 82401
Physician Assistant
1405 HOWELL AVE
WORLAND, WY 82401

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 Flinner's NPI number?

The NPI number for Mark Flinner is 1942370879. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Mark Flinner located?

Mark Flinner practices at 1405 Howell Ave, Worland, WY 82401. The listed phone number is (307) 347-2555.

What is Mark Flinner's specialty?

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

Is Mark Flinner enrolled in Medicare?

Yes. Mark Flinner 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 Flinner accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Mark Flinner 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 Flinner affiliated with any hospitals?

According to CMS data, Mark Flinner is affiliated with Washakie Medical Center and Cody Regional Health.

When was this NPI record last updated?

The NPPES record for Mark Flinner was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.