MARK WELLS (MD) – Plastic Surgery Physician, NPI 1215926597

MARK WELLS (MD) is a healthcare provider. based in Fort wayne, Indiana. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 35069832 (OH). The NPI Number for MARK WELLS (MD) is 1215926597

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MARK WELLS (MD)
NPI
1215926597
Phone
(260) 425-6960
Address
11141 Parkview Plaza Dr Ste 300
Enumeration Date
19 October 2005
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5182625633
Graduation Year
1983 (43 years ago)
PAC ID
9638140163
Group Practice PAC ID
1759293111
Professional Enrollment ID
I20260114002383
Address ID
NY122083412AL47XXXAVEX400

Contacts

Secure Messaging
mark.wells@mmhs.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness95
Years active:20State licenses:3Other names

126 PLASTIC AND RECONSTRUCTIVE SURGERY in IN

Provider Addresses for MARK WELLS (MD)

  • 11141 Parkview Plaza Dr Ste 300

    Fort Wayne, IN 468451715

    Phone: (260) 425-6960

    Fax: (260) 425-6965

    Type: Location

  • 285, East State Street, Discovery District, Columbus, Franklin, Ohio, 43215, United States

    SUITE 600

    COLUMBUS, OH 432154354

    Phone: (614) 566-9496

    Fax: (614) 566-8668

    Type: Location

  • 285 E State St

    Suite 600

    Columbus, OH 432154354

    Phone: (614) 566-9496

    Fax: (614) 566-8668

    Type: Location

  • 400 Matthew St Ste B-1

    Marietta, OH 457501644

    Phone: (740) 568-5384

    Fax: (740) 571-4739

    Type: Location

  • Frantz Road, Dublin, Franklin, Ohio, 43016, United States

    DUBLIN, OH 430164259

    Phone:

    Type: Mailing

  • 400 MATTHEW ST STE B-1

    MARIETTA, OH 457501644

    Phone: (740) 568-5384

    Fax: (740) 571-4739

    Type: Location

  • 4433 VESTAL PKWY E

    VESTAL, NY 138503556

    Phone: (607) 771-2220

    Fax: (607) 251-2635

    Type: Location

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: 2026-01-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040805001229IPlastic And Reconstructive SurgeryOHTBD
I20260114002383IPlastic And Reconstructive SurgeryNYTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes3131$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2317$0
11042Removal of skin and tissue, 20.0 sq cm or less1311$0
15852Dressing change under anesthesia1111$0
View full utilization report →

Insurance plans in this area (ZIP 46845)

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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: 1759293111View full group profile
NameSpecialtyState
N E U R O L O G YNY
-NY
-NY
A N E S T H E S I O L O G YNY
A N E S T H E S I O L O G YNY
P S Y C H I A T R YNC
Emergency Medicine, Critical Care (Intensivists)NY
Thoracic SurgeryNY
-NY
Vascular SurgeryNY

Reviews

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Frequently asked questions

Can I verify MARK WELLS (MD) with an NPI only?
You can start verification with NPI 1215926597 for MARK WELLS (MD), then check state licensing separately.
Does the file indicate MARK WELLS (MD) is practicing under active NPI?
Directory data currently reports MARK WELLS (MD) as active.
What is MARK WELLS (MD)'s specialty?
The listing groups MARK WELLS (MD) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MARK WELLS (MD)?
MARK WELLS (MD)'s geographic hint is Fort Wayne, Indiana in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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