MARK JONATHAN MOSEMANN (M.D.) – Emergency Medicine Physician, NPI 1861473639
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
111 EMERGENCY MEDICINE in WY
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Provider Addresses for MARK JONATHAN MOSEMANN (M.D.)
Salem Post Office, 2;4, Margin Street, Downtown Salem District, Salem, Essex County, Massachusetts, 01970, United States
SALEM, UT 846531276
Phone: (801) 423-3306
Fax: (801) 423-3309
Type: Mailing
SageWest Health Care – Lander, 1320, Bishop Randall Drive, Lander, Fremont County, Wyoming, 82520, United States
LANDER, WY 825203939
Phone: (307) 335-6365
Type: Location
15622 N HIGHWAY 41
RATHDRUM, ID 838588710
Phone: (208) 687-4878
Fax: (208) 687-4879
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: 2023-09-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040518001088 | I | Emergency Medicine | WY | TBD |
| I20230919003477 | I | Emergency Medicine | ID | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 65 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 53 | 52 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 45 | 45 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 15 | 15 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 84653)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | ID | |
| Nurse Practitioner | ID | |
| - | ID | |
| - | ID | |
| - | WA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | ID | |
| Physician Assistant | ID |
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