MARK WAWERU (M.D.) – Family Medicine Physician, NPI 1871918565

MARK WAWERU (M.D.) is a healthcare provider. based in Fairfield, Texas. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. S6092 (TX). The NPI Number for MARK WAWERU (M.D.) is 1871918565

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MARK WAWERU (M.D.)
NPI
1871918565
Phone
(903) 389-0926
Address
734 W COMMERCE ST
Enumeration Date
4 March 2014
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9034800041
Graduation Year
2017 (9 years ago)
PAC ID
8123365566
Group Practice PAC ID
6507149192
Professional Enrollment ID
I20241017000104
Address ID
TX758317555BU144XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:12State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for MARK WAWERU (M.D.)

  • 734 W COMMERCE ST

    FAIRFIELD, TX 758401428

    Phone: (903) 389-0926

    Fax: (903) 389-0907

    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)

CMS reports 23 Open Payments records for all available years, with a total value of $428.

Total Amount is formed as General ($428) + Research ($0) + Ownership ($0) = $428.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Novo Nordisk Inc ($143).

Total Amount

$428

General + Research + Ownership

Payments

23

Total payment records

General Amount

$428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20201016000453IFamily PracticeTXTBD
I20241008003013IFamily PracticeTNTBD
I20241017000104IEmergency MedicineTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75840)

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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: 6507149192View full group profile
NameSpecialtyState
Family PracticeTX
Emergency MedicineOK
Nurse PractitionerTX
Nurse PractitionerTX
Emergency Medicine, Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Emergency MedicineTX
Orthopedic SurgeryTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do payers reference MARK WAWERU (M.D.)?
For MARK WAWERU (M.D.), use NPI 1871918565 as the unique 10-digit identifier.
Is there an active status for MARK WAWERU (M.D.)?
For scheduling context, MARK WAWERU (M.D.) is shown as active in the registry.
How would a patient describe MARK WAWERU (M.D.)'s focus?
For MARK WAWERU (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is MARK WAWERU (M.D.) registered?
Use Fairfield, Texas as the headline location for MARK WAWERU (M.D.) here.
Can I trust this NPI listing for MARK WAWERU (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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