MARK EDWIN WOOLLEY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1629213780
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 PODIATRY in UT
Provider Addresses for MARK EDWIN WOOLLEY (DPM)
955 CHAMBERS ST STE 200
SOUTH OGDEN, UT 844034519
Phone: (801) 409-2100
Fax: (801) 475-6169
Type: Location
6028 S Ridgeline Drive
Suite 205
Ogden, UT 844056914
Phone: (801) 409-2100
Fax: (801) 475-5286
Type: Location
473 W Bourne Cir Ste 2
Farmington, UT 840253655
Phone: (801) 451-7500
Fax: (801) 451-6966
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $449.
Total Amount is formed as General ($449) + Research ($0) + Ownership ($0) = $449.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Active Medical, LLC ($157).
Total Amount
$449
General + Research + Ownership
Payments
15
Total payment records
General Amount
$449
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Active Medical, LLC | $157 |
| Stryker Corporation | $55 |
| Orthofix Medical, Inc. | $46 |
| Smith+Nephew, Inc. | $40 |
| Checkpoint Surgical, Inc | $39 |
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: 2012-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120309000609 | I | Podiatry | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 918 | 281 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 245 | 124 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 216 | 75 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 160 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 133 | 83 | $0 |
Insurance plans in this area (ZIP 84403)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT | |
| P O D I A T R Y | UT |
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