DR. MARK ALAN WARD (MD) – Family Medicine Physician, NPI 1639110257

DR. MARK ALAN WARD (MD) is a healthcare provider. based in Morro bay, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. A83686 (CA). The NPI Number for DR. MARK ALAN WARD (MD) is 1639110257

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ALAN WARD (MD)
NPI
1639110257
Phone
(805) 772-7100
Address
355 LAS VEGAS ST
Enumeration Date
8 June 2006
Last Update Date
30 April 2024

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8055429596
Graduation Year
2000 (26 years ago)
PAC ID
5799699484
Group Practice PAC ID
1759318256
Professional Enrollment ID
I20031117000801
Address ID
CA934051811SA47XXXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for DR. MARK ALAN WARD (MD)

  • 355, Las Vegas Street, Morro Bay, San Luis Obispo County, California, 93442, United States

    MORRO BAY, CA 934421548

    Phone: (805) 772-7100

    Fax: (805) 772-7776

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031117000801IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5528$0
99442Telephone medical discussion with physician, 11-20 minutes3720$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and1919$0
99443Telephone medical discussion with physician, 21-30 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 93442)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759318256View full group profile
NameSpecialtyState
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Family PracticeCA

Reviews

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Frequently asked questions

Is DR. MARK ALAN WARD (MD) listed with a National Provider Identifier?
Yes — DR. MARK ALAN WARD (MD) has NPI 1639110257 on file in the registry.
Is DR. MARK ALAN WARD (MD) still an active registrant?
DR. MARK ALAN WARD (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. MARK ALAN WARD (MD)?
DR. MARK ALAN WARD (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MARK ALAN WARD (MD)?
Travel planning: use Morro Bay, California as the reference point for DR. MARK ALAN WARD (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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