DR. MARK EDWARD DWINELL M.D.
NPI 1639106099
Internal Medicine in Farmington, NM
NPI Status: Active since June 28, 2006
Contact Information
407 S SCHWARTZ AVE
SUITE 201
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-6730
Fax: (505) 609-6749
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About MARK DWINELL
This page provides the complete NPI Profile along with additional information for Mark Dwinell, an internist established in Farmington, New Mexico with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1639106099 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD2013-0979 (NM). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1639106099
- Provider Name
- DR. MARK EDWARD DWINELL M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 407 S SCHWARTZ AVE SUITE 201 FARMINGTON, NM 87401
- Location Phone
- (505) 609-6730
- Location Fax
- (505) 609-6749
- Mailing Address
- PO BOX 6210 FARMINGTON, NM 87499
- Mailing Phone
- (505) 609-2258
- Mailing Fax
- (505) 609-6749
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-28-2006
- Last Update Date
- 04-28-2015
- Code Navigator
An internist like Mark Dwinell is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD2013-0979
- License State
- NM
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- MyBlue Health Bronze? 402 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Standard - HMO
- UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Standard - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F51238 | MEDICARE UPIN (02) | ||
| F51238 | MEDICARE UPIN (02) | TX | |
| 104963701 | MEDICAID (05) | TX | |
| 1049637-01 | MEDICAID (05) | TX | |
| 86285N | MEDICARE PIN (08) | TX |
Medicare Participation & PECOS Enrollment Status
Mark Dwinell is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable oxygen contents, gaseous, 1 month's supply = 1 unit (HCPCS:E0443)
3 DME suppliers used 12 Medicare Claims 12 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 87401 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.21
- Minimum New Patient Price $54.26
- Maximum New Patient Price $166.8
- Average New Patient Copayment $31.55
- Minimum New Patient Copayment $13.56
- Maximum New Patient Copayment $41.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.38
- Minimum Established Patient Price $17
- Maximum Established Patient Price $135.35
- Average Established Patient Copayment $24.09
- Minimum Established Patient Copayment $4.25
- Maximum Established Patient Copayment $33.83
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 0 | 6 | 0 | 9 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 0 | 12 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 0 + 1 + 2 + 0 + 1 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1639106099 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396790150 | EDWARD KOMPARE M.D. Individual | Internal Medicine (Geriatric Medicine) | 407 S SCHWARTZ AVE SUITE 201 FARMINGTON, NM 87401 (505) 609-6730 |
| 1093800534 | SAN JUAN REGIONAL MEDICAL CENTER INC Organization | Pediatrics | 407 S SCHWARTZ AVE SUITE 102 FARMINGTON, NM 87401 (505) 609-6700 |
| 1245385947 | DR. FARAZ SANDHU M.D. Individual | Internal Medicine (Cardiovascular Disease) | 407 S SCHWARTZ AVE SUITE 201 FARMINGTON, NM 87401 (505) 609-6730 |
| 1356625917 | TRACIE D GRACE FNP-C Individual | Nurse Practitioner (Family) | 407 S SCHWARTZ AVE SUITE 201 FARMINGTON, NM 87401 (505) 609-6730 |
| 1649366105 | BRENDA JAMES MD Individual | Pediatrics | 407 S SCHWARTZ AVE STE 102 FARMINGTON, NM 87401 (505) 609-6700 |
| 1649203266 | MARC FLITTER M.D. Individual | Surgery | 407 S SCHWARTZ AVE SUITE 202 FARMINGTON, NM 87401 (505) 609-6580 |
| 1609969245 | CAROL CONNELLY CNP Individual | Nurse Practitioner (Pediatrics) | 407 S SCHWARTZ AVE STE 102 FARMINGTON, NM 87401 (505) 609-6700 |
| 1457445900 | .PEGGY R TOLLIVER MD Individual | Pediatrics | 407 S SCHWARTZ AVE SUITE 102 FARMINGTON, NM 87401 (505) 609-6700 |
| 1982886123 | DR. NKECHINYELU VIVIAN NNEBE MD Individual | Pediatrics | 407 S SCHWARTZ AVE SUITE 102 FARMINGTON, NM 87401 (505) 609-6700 |
| 1811998529 | JAMES P GOOLSBY MD Individual | Internal Medicine (Cardiovascular Disease) | 407 S SCHWARTZ AVE SUITE 101 FARMINGTON, NM 87401 (505) 609-6770 |
| 1790195725 | PIERRE MCKENZIE CNP Individual | Nurse Practitioner (Family) | 407 S SCHWARTZ AVE SUITE 202 FARMINGTON, NM 87401 (505) 609-6595 |
| 1710184163 | DR. SUDHAKAR VIRENDRA GIROTRA Individual | Internal Medicine (Interventional Cardiology) | 407 S SCHWARTZ AVE SUITE 202 FARMINGTON, NM 87401 (505) 609-6770 |
| 1679739684 | DR. NAVNEET KAINTH M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 407 S SCHWARTZ AVE SUITE 201 FARMINGTON, NM 87401 (505) 609-6730 |
| 1043693948 | MOLLY PATRICIA HUMMEL PA Individual | Physician Assistant | 407 S SCHWARTZ AVE SUITE 101 FARMINGTON, NM 87401 (505) 609-6595 |
| 1962878157 | MARTHA JEAN LUHRS FNP-C Individual | Nurse Practitioner (Family) | 407 S SCHWARTZ AVE SUITE 202 FARMINGTON, NM 87401 (505) 609-6774 |
| 1376542118 | CHRISTOPHER LESUEUR DO Individual | Internal Medicine | 407 S SCHWARTZ AVE STE 201 FARMINGTON, NM 87401 (505) 609-6730 |
| 1275981557 | JESSICA A CONKLIN CNP Individual | Nurse Practitioner (Pediatrics) | 407 S SCHWARTZ AVE SUITE 102 FARMINGTON, NM 87401 (505) 609-6700 |
| 1205185261 | MARY PICKARD PA-C Individual | Physician Assistant | 407 S SCHWARTZ AVE SUITE 202 FARMINGTON, NM 87401 (505) 609-6770 |
| 1265527717 | PRESTON HERRINGTON III MD Individual | Pediatrics | 407 S SCHWARTZ AVE STE 102 FARMINGTON, NM 87401 (505) 609-6700 |
| 1902829021 | MICHAEL B WEST MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 407 S SCHWARTZ AVE SUITE 202 FARMINGTON, NM 87401 (505) 609-6770 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639106099, enumerated in the NPI registry as an "individual" on June 28, 2006
The provider is located at 407 S Schwartz Ave Suite 201 Farmington, Nm 87401 and the phone number is (505) 609-6730
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.21 with an average copayment of $31.55 for new patient appointments. Established patients should expect a typical charge of $96.38 and an average copayment of 24.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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