NPIMap

Individual provider Active NPI

Mark F. Wilt, P. A.

  • Physician Assistant
  • Cumberland, MD
National Provider Identifier
1003975400
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003316 Issued in MD
Practice address
12502 Willowbrook Rd
Suite 470
Cumberland, MD 21502-6491
Phone
(240) 964-8724
Fax
(240) 964-8735
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003316 MD Primary

Addresses

Primary practice location

12502 Willowbrook Rd
Suite 470
Cumberland, MD 21502-6491

Mailing address

193 Sugar Rd
Lilly, PA 15938-6016
Phone (814) 886-8491

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwilt270758@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070302000243 MD Practitioner - Physician Assistant 9739281148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians
Upmc Western Maryland Health Services LLCGroup PAC ID 7113396011, 162 clinicians

Practice addresses (Care Compare)

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-5623

12502 Willowbrook Rd
Cumberland, MD 21502-6567

Hospital & facility affiliations

  • Western Maryland Regional Medical Center Hospital, Cumberland, MD, CCN 210027
  • West Virginia University Hospitals, Inc Hospital, Morgantown, WV, CCN 510001
  • Potomac Valley Hospital Hospital, Keyser, WV, CCN 511315

Merit-based Incentive Payment System (MIPS)

Final score
72.91 of 100Reported as group
Quality
50.88
Improvement activities
40
Cost
69.9

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003316MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation CurrentSince Jun 1, 2006 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Health Services, LLC CurrentSince Jan 1, 2023 Accepting new patients
Upmc Western Maryland Corporation Past Accepting new patients

Locations

12502 Willowbrook Rd
Ste 420
Cumberland, MD 21502
Phone (240) 964-8740

12502 Willowbrook Rd
Ste 470
Cumberland, MD 21502
Phone (240) 964-8724

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

22221 Westernport Rd SW
Westernport, MD 21562
Phone (240) 774-0204

Interoperability endpoints

  • Direct secure messaging: mwilt270758@upmc.direct-ci.com
  • Direct secure messaging: mark.f.wilt@upmcdirect.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1003975400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 SUGAR RD",
            "city": "LILLY",
            "state": "PA",
            "postal_code": "159386016",
            "telephone_number": "814-886-8491",
            "fax_number": "301-723-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12502 WILLOWBROOK RD",
            "address_2": "SUITE 470",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026491",
            "telephone_number": "240-964-8724",
            "fax_number": "240-964-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "MARK",
        "middle_name": "F.",
        "credential": "P. A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwilt270758@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

Verify at the official NPI Registry.