MARK W WOODRUFF (MD) – Family Medicine Physician, NPI 1376540567

MARK W WOODRUFF (MD) is a healthcare provider. based in Omaha, Nebraska. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 18120 (NE). The NPI Number for MARK W WOODRUFF (MD) is 1376540567

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MARK W WOODRUFF (MD)
NPI
1376540567
Phone
(402) 506-9123
Address
7100 W CENTER RD
Enumeration Date
1 July 2005
Last Update Date
10 September 2015

Doctor Profile

Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4025069000
Graduation Year
1985 (41 years ago)
PAC ID
2668491549
Group Practice PAC ID
9638394505
Professional Enrollment ID
I20051121000624
Address ID
NE681062714OM7100XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

953 FAMILY PRACTICE in NE

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Provider Addresses for MARK W WOODRUFF (MD)

  • West Center Road, Millard, Omaha, Douglas County, Nebraska, 68130, United States

    OMAHA, NE 681062700

    Phone: (402) 506-9123

    Fax: (402) 858-7101

    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: 2005-11-21

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
I20051121000624IFamily PracticeNETBD

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 minutes371161$0
36415Insertion of needle into vein for collection of blood sample325159$0
83036Hemoglobin a1c level239135$0
80061Blood test, lipids (cholesterol and triglycerides)190142$0
80053Blood test, comprehensive group of blood chemicals184143$0
View full utilization report →

Insurance plans in this area (ZIP 68106)

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Provider's Procedures

MARK W WOODRUFF (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINENE83036Hemoglobin A1C level17296
FAMILY MEDICINENE90670Pneumococcal vaccine for injection into muscle2727

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: 9638394505View full group profile
NameSpecialtyState
Mental Health CounselorNE
Physician AssistantIA
Physical Therapist In Private PracticeNE
R H E U M A T O L O G YNE
Nurse PractitionerNE
O P T O M E T R YNE
-NE
-NE
-NE
Family PracticeNE

Reviews

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Frequently asked questions

Can I use this page to confirm MARK W WOODRUFF (MD)'s NPI?
Yes. MARK W WOODRUFF (MD) is listed with NPI 1376540567 in the public NPI dataset.
Does the file indicate MARK W WOODRUFF (MD) is practicing under active NPI?
Directory data currently reports MARK W WOODRUFF (MD) as active.
What is MARK W WOODRUFF (MD) best known for clinically?
Directory data describes MARK W WOODRUFF (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MARK W WOODRUFF (MD) based?
MARK W WOODRUFF (MD) is tied to Omaha, Nebraska in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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