Mark W Muilenburg, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27195 Issued in IA

Practice address

1000 Lincoln Cir SE
Suite 100
Orange City, IA 51041-1862

Phone

(712) 737-2000

Fax

(712) 737-2115

NPI assigned

Dec 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 15

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

76.84 of 100Reported as group

Quality

86.15

Promoting interoperability

100

Improvement activities

40

Cost

36.65

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Orange City Municipal Hospital

  • Specialist
  • Orange City, IA
  • NPI 1265479323
  Medicare reassignment NPD
• Orange City Municipal Hospital

  • Critical Access Hospital
  • Orange City, IA
  • NPI 1700856796
  Medicare reassignment NPD
• Orange City Municipal Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Orange City, IA
  • NPI 1952371213
  Medicare reassignment NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306886400000",
    "number": "1033196233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIR SE",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411862",
            "telephone_number": "712-737-2000",
            "fax_number": "712-737-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIR SE",
            "address_2": "SUITE 100",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411862",
            "telephone_number": "712-737-2000",
            "fax_number": "712-737-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUILENBURG",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2011-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "27195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HEALTH PLAN",
            "identifier": "21480",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "426038405",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ER LOCATION",
            "identifier": "45934",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "E43217",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "231",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "42603840551041",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1048561",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0117578",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EQUITABLE LIFE & CASUALTY",
            "identifier": "426038405",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6048561",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "703361023653",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0117578",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "03528",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST ADMINISTRATORS",
            "identifier": "03528",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT GENERAL",
            "identifier": "426038405",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie B Moeller, M.D.
• Moss Therapy Services PLLC
• Derrick Moss, ATC
• Lizbeth Moss, LISW
• Samantha Jo Moss, PHYSICIAN ASSISTANT
• Grace Frances Myhrwold
• Beverly Noelck
• Brent Eric Nykamp, M.D.
• Brianna Oetken, LMSW
• Melissa A Ohden, L.I.S.W.

• Family Medicine Physician in Orange City, IA
• Providers in Orange City, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.