MARK D PRINCE (MD) – Family Medicine Physician, NPI 1790708568
Family Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
169 INTERNAL MEDICINE in WY
Provider Addresses for MARK D PRINCE (MD)
2030 BLUEGRASS CIR
CHEYENNE, WY 820097328
Phone: (307) 635-3500
Fax: (307) 635-2199
Type: Location
2030 Bluegrass Cir
Cheyenne, WY 820097328
Phone: (307) 635-3500
Fax: (307) 635-2199
Type: Location
PO BOX 780
LUSK, WY 822250780
Phone: (307) 334-4000
Type: Mailing
921 S BALLANCEE AVE
LUSK, WY 82225
Phone: (307) 334-4000
Type: Location
Cheyenne Veterans Affairs Medical Center, 2360, East Pershing Boulevard, Cheyenne, Laramie County, Wyoming, 82001, United States
CHEYENNE VA MEDICAL CENTER
CHEYENNE, WY 82001
Phone: (307) 778-7550
Type: Mailing
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: 2006-12-29
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20061229000169 | I | Internal Medicine | WY | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 36 | 33 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | 11 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 19 | 12 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 15 | 15 | $0 |
Insurance plans in this area (ZIP 82009)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine, Family Practice | WY | |
| Physician Assistant | WY | |
| Physician Assistant | WY | |
| Physician Assistant | WY | |
| - | WY | |
| Family Practice | SD | |
| Physician Assistant | CO |
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