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DANIEL LEE MARK
NPI 1972539955
Family Medicine - Sports Medicine in Duluth, MN

Active since June 23, 2006PECOS EnrolledAccepts Medicare Assignment
400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Daniel Lee Mark NPPES

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

DANIEL LEE MARK (NPI 1972539955) is an individual sports medicine provider in Duluth, Minnesota, licensed in Minnesota (44763) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1972539955
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDANIEL LEE MARK
Location Address400 E 3RD STDuluth, MN 55805-1951
Mailing Address400 E 3rd StDuluth, MN 55805-1951 · (218) 786-8364
Phone(218) 786-8364
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateJune 23, 2006
Last NPPES UpdateMay 9, 2011
✔ NPI 1972539955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MN · 44763
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
400 E 3RD ST, Duluth, MN 55805
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Other Identifiers 3

Medicare PIN080014266MN
Medicare UPINH63768
Medicaid981447700MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Daniel Lee Mark 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 ID7618878307
PECOS Enrollment IDI20050727000203
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Daniel Mark reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Duluth Clinic, Ltd
Same address
Multi-Specialty
400 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 1,460 clinicians in this Medicare group
NPI 1245278209 (218) 786-8364
St. Mary's Hospital Of Superior
6.6 mi
Critical Access
3500 TOWER AVE
Superior, WI 54880
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Marys Hospital Of Superior
  • 381 clinicians in this Medicare group
NPI 1083657886 (715) 395-5400
Essentia Health Moose Lake
40 mi
Critical Access
4572 COUNTY ROAD 61
Moose Lake, MN 55767
  • Reassigned Medicare billing, Minnesota enrollment
  • 213 clinicians in this Medicare group
NPI 1154959880 (218) 485-4481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
106 services45 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
62 services41 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.
50 services43 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.
39 services39 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.
32 services28 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.
32 services29 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN
OwnershipGovernment - Local
CMS Certification Number240084
Location901 9th Street NorthVirginia, MN 55792 · St. Louis County
Birthing friendly

Essentia Health Sandstone

Critical Access Hospitals · Sandstone, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241309
Location705 Lundorff Drive SouthSandstone, MN 55072 · Pine County
Emergency services

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

Community Memorial Hospital

Critical Access Hospitals · Cloquet, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241364
Location512 Skyline BoulevardCloquet, MN 55720 · Carlton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

CHRISTIAN CONNER RN, CRNA
Nurse Anesthetist, Certified Registered
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-4150
DR. BRANDY LEE SWEENEY DO
Anesthesiology
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
JORDAN TICHENOR
Internal Medicine (Infectious Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-3737
MOLLY B DWYER APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
AMY MARIE LARSON MD
Hospitalist
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
BRUCE JAMES DERAUF
Radiology (Diagnostic Radiology)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
NIZAR NAJIB SALEH
Internal Medicine (Cardiovascular Disease)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364
DIANE MAE KOLQUIST
Clinical Nurse Specialist (Medical-Surgical)
400 E 3RD ST
DULUTH, MN 55805
St. Louis County (218) 786-8364

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 Daniel Mark's NPI number?

The NPI number for Daniel Mark is 1972539955. It was assigned to this individual provider in the NPPES registry on June 23, 2006.

Where is Daniel Mark located?

Daniel Mark practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Daniel Mark's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Daniel Mark enrolled in Medicare?

Yes. Daniel Mark 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.

Which organizations bill Medicare for Daniel Mark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Mark reassigns Medicare benefits to 3 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Hospital Of Superior (Superior, WI) and Essentia Health Moose Lake (Moose Lake, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Mark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Mark accept?

Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Daniel Mark 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 Daniel Mark affiliated with any hospitals?

According to CMS data, Daniel Mark is affiliated with Essentia Health Duluth, Essentia Health Virginia, Essentia Health Sandstone, Essentia Health Moose Lake and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Mark was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.