Mark David Wild, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20467 Issued in SC

Practice address

2728 Sunset Blvd Ste 201
West Columbia, SC 29169-4837

Phone

(803) 254-1300

Fax

(803) 771-7597

NPI assigned

Apr 14, 2006

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 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Obstetrics/Gynecology

Education

Medical University of South Carolina College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lexington Health IncGroup PAC ID 2567872070, 905 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lexington Medical Center Hospital, West Columbia, SC, CCN 420073
• Prisma Health Baptist Hospital, Columbia, SC, CCN 420086

Merit-based Incentive Payment System (MIPS)

Final score

84.09 of 100Reported as group

Quality

68.87

Promoting interoperability

100

Improvement activities

40

Cost

78.11

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mwild385466@direct.ghs.myhfn.org
• Direct secure messaging: mwild13444@direct.lexmed.com

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.

• Lexington Health Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • West Columbia, SC
  • NPI 1710634753
  Medicare reassignment Care Compare group NPD
• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Medicare reassignment NPD
• Lexington County Health Services District Inc

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1356366314
  NPD
• Lexington Health Inc

  • Obstetrics & Gynecology Physician
  • West Columbia, SC
  • NPI 1881478402
  NPD
• Lexington Health Inc

  • Internal Medicine Physician
  • West Columbia, SC
  • NPI 1942190988
  NPD
• Prisma Health Medical Group-Midlands

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• Prisma Health-Midlands

  • Emergency Medicine Physician
  • Columbia, SC
  • NPI 1639590680
  NPD
• Lexington County Health Services District, Inc.

  • Urgent Care Clinic/Center
  • Columbia, SC
  • NPI 1396778056
  NPD (past)
• Lexington Health Inc

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1386241834
  NPD (past)

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

• Lexington Health Inc

  • General Acute Care Hospital
  • West Columbia, SC
  • NPI 1386241834
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1205889458
  Care Compare affiliation
• Prisma Health-Midlands

  • General Acute Care Hospital
  • Columbia, SC
  • NPI 1306623137
  Care Compare affiliation

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1891759916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743904",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743904",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 SUNSET BLVD STE 201",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694837",
            "telephone_number": "803-254-1300",
            "fax_number": "803-771-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Taylor St",
            "address_2": "Suite 7-B",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292012942",
            "country_code": "US",
            "telephone_number": "803-254-9461",
            "fax_number": "803-254-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Palmetto Health Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292121763",
            "country_code": "US",
            "telephone_number": "803-907-7300",
            "fax_number": "803-907-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILD",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "20467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204674",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwild13444@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 201",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwild13444@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "2728 Sunset Blvd Ste 201",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christi Prentice Wiggins, APRN, NP-C
• Wil Lou Gray Opportunity School
• Scott R Wilbert, PT
• Lelia Plaxco Wilcox, CRNA
• Miriam A Wilcox, MD
• Andrea Wilderom, DC
• Susan K Wilkerson, RD
• Mary Wilkins
• Craig A. Wilkinson, CRNA
• Daniel V Will, M.D.

• Obstetrics & Gynecology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Obstetrics & Gynecology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.