Active NPI 1629161757 Individual Practitioner Male Practitioner

Dr. Mark A Wikenheiser , MD

Orthopaedic Surgery • Fairmont, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Wikenheiser, MD is a certified Orthopaedic Surgery practicing in Fairmont, MN. With approximately 39 years of clinical experience since graduating from University Of North Dakota School Of Medicine in 1987, Dr. Wikenheiser delivers high-quality medical care to the local community at 800 MEDICAL CENTER DR.

Dr. Wikenheiser is affiliated with Coastal Plains Physician Associates and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, aspiration and/or injection of fluid from large joint, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 Medical Center Dr

Fairmont, MN 560314575

Telephone 5072388100

Associated Practice Facility / Clinic

🏢 Mayo Clinic Health System-Fairmont Facility NPI 1821066499

Medicare Profile & Education

Medical School

University Of North Dakota School Of Medicine

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Fairmont, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs -1.0 yrs vs City Avg

City Avg: 40.0 Yrs

State Avg: 22.9 Yrs

Regional Practice Density

4 Specialists

Practicing in Fairmont, MN (674 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wikenheiser (39 Years) 39 Yrs

Fairmont Specialty Average (40.0 Years) 40.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	3,964	45	$0.60	$0.13
20610 Aspiration and/or injection of fluid from large joint	107	75	$221.95	$46.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	81	$187.00	$95.56
99213 Established patient office or other outpatient visit, typically 15 minutes	78	59	$114.24	$88.79
99213 Established patient office or other outpatient visit, typically 15 minutes	64	55	$126.00	$64.70
20610 Aspiration and/or injection of fluid from large joint	51	39	$212.08	$62.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$195.00	$79.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$204.00	$109.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$299.00	$130.07
73030 X-ray of shoulder, minimum of 2 views	15	14	$116.00	$33.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	175	145	$122.00	$64.29
20610 Aspiration and/or injection of fluid from large joint	158	103	$230.73	$49.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$190.00	$79.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	44	$182.00	$95.13
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$135.00	$46.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$285.00	$129.24
26055 Incision of tendon covering	14	12	$2577.00	$239.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$83.00	$34.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	123	81	$227.12	$49.67
99213 Established patient office or other outpatient visit, typically 15 minutes	76	72	$118.00	$65.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	49	$81.00	$35.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$189.72	$80.96
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$133.26	$47.79
20550 Injection into tendon or ligament	19	14	$163.58	$33.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$177.00	$96.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	102	$82.00	$35.68
99202 New patient office or other outpatient visit, typically 20 minutes	91	91	$131.00	$48.14
20610 Aspiration and/or injection of fluid from large joint	81	63	$211.20	$48.07
99213 Established patient office or other outpatient visit, typically 15 minutes	63	58	$122.27	$66.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$184.00	$82.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	115	92	$109.64	$50.82
20610 Aspiration and/or injection of fluid from large joint	101	73	$203.17	$50.68
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$130.60	$49.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	38	$74.00	$25.46
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$100.00	$26.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	112	$100.50	$50.03
99202 New patient office or other outpatient visit, typically 20 minutes	113	113	$116.04	$49.81
20610 Aspiration and/or injection of fluid from large joint	81	68	$195.57	$48.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	31	$77.00	$25.08
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$2934.00	$479.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	286	214	$125.73	$51.55
20610 Aspiration and/or injection of fluid from large joint	98	63	$338.38	$50.54
99202 New patient office or other outpatient visit, typically 20 minutes	96	96	$141.50	$53.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$194.29	$76.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$179.52	$77.76
29824 Partial removal of collar bone at shoulder using an endoscope	24	23	$5006.00	$474.19
64721 Release and/or relocation of hand nerve	18	14	$4657.00	$390.96
27130 Replacement of thigh bone and hip joint with prosthesis	17	17	$17646.00	$1209.96
23472 Prosthetic repair of shoulder joint, total shoulder	17	17	$13607.00	$1366.68
27447 Replacement of knee joint, both sides of knee	16	15	$12705.00	$1271.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$78.53	$26.71
23412 Repair of chronic torn shoulder rotator cuff	14	14	$9277.00	$799.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	287	239	$119.53	$50.56
20610 Aspiration and/or injection of fluid from large joint	112	79	$364.54	$52.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$192.32	$77.03
27130 Replacement of thigh bone and hip joint with prosthesis	29	27	$16984.00	$1281.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$84.04	$29.50
J1040 Injection, methylprednisolone acetate, 80 mg	21	15	$64.73	$11.06
27447 Replacement of knee joint, both sides of knee	20	20	$12228.00	$1281.11
29824 Partial removal of collar bone at shoulder using an endoscope	20	20	$4818.00	$405.81
23472 Prosthetic repair of shoulder joint, total shoulder	18	18	$13096.00	$1376.94
23412 Repair of chronic torn shoulder rotator cuff	14	14	$8929.00	$804.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	14	$247.00	$69.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$186.40	$79.82
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$150.49	$56.76

Medical Specialties & State Licenses

CMS Verified: 2024-07-26

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License WI 40564

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

32555900 (WI)

Medicaid State Provider ID

493363000 (MN)

Commercial Insurance / Payer ID Healthpartners

HP14690 (MN)

Commercial Insurance / Payer ID Bcbs Mn Hosp

07246WI (MN)

Commercial Insurance / Payer ID Bcbs Mn Pro Fee

072J6WI (MN)

Commercial Insurance / Payer ID Preferred One

1004260 (WI)

Commercial Insurance / Payer ID Medica

0900551 (MN)

Hospital & Practice Group Affiliations

Coastal Plains Physician Associates

595 W Carolina Ave, Varnville, SC 299444735

Phone: 8039431221

Secondary Practice Locations

800 West Ave S

La Crosse, WI 546018806

Phone: 6083929876

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners

Jauclyn Green , NP

Nurse Practitioner

NPI 1063068062

Nurse Practitioner

April Poolman , FNP-C

Nurse Practitioner - Family

NPI 1073744934

Family Nurse Practitioner (Certified)

Dr. Luke Madsen , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1073810479

Doctor of Podiatric Medicine

Dr. Rachel Ziegler , MD

Psychiatry & Neurology - Neurology

NPI 1083906150

Doctor of Medicine (M.D.)

Leonard Montgomery , PA-C

Internal Medicine

NPI 1114397742

Physician Assistant (Certified)

Julie Rolstad , RN, ANP-BC

Nurse Practitioner

NPI 1114907540

Registered Nurse, ANPBC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location December 17, 2018

Registered at 800 MEDICAL CENTER DR, FAIRMONT, MN 560314575 (Tel: 5072388100)

✅

NPI Profile Active August 07, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2013

Registered at 800 WEST AVE S, LA CROSSE, WI 546018806 (Tel: 6083929876)

📍

Updated Business Mailing Address August 07, 2013

Registered at 800 WEST AVE S, LA CROSSE, WI 546018806 (Tel: 6083929876)

👤

Provider Name / Credentials Updated August 07, 2013

Recorded as MARK WIKENHEISER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2013

Orthopaedic Surgery (License #40564 in WI)

🟢

Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Mark Wikenheiser. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629161757

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 02, 2006

Last Update: July 26, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

800 West Ave S

La Crosse, WI 546018806

Phone: 6083929876

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.