Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013919034 Individual Practitioner Male Practitioner

Dr. Mark Edward Van Wormer , MD

General Practice • Clayton, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Van Wormer, MD is a certified General Practice practicing in Clayton, NM. With approximately 46 years of clinical experience since completing medical education in 1980, Dr. Van Wormer delivers high-quality medical care to the local community at 314 N 3RD AVE.

Dr. Van Wormer is affiliated with Clayton Health Systems Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

314 N 3rd Ave

Clayton, NM 884153302

Telephone 5753748313
Fax 5753742064
Associated Practice Facility / Clinic
🏢 Clayton Health Systems Inc Facility NPI 1285715243

Medicare Profile & Education

Medical School

Other

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Clayton, NM

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
46 Yrs Matches City Avg
City Avg: 46.0 Yrs
State Avg: 32.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Clayton, NM (115 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Wormer (46 Years) 46 Yrs
Clayton Specialty Average (46.0 Years) 46.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
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
423 200 $89.70 $42.05
99213 Established patient office or other outpatient visit, typically 15 minutes
264 141 $118.84 $70.36
99283 Emergency department visit with low level of medical decision making
113 93 $266.73 $61.78
99284 Emergency department visit with moderate level of medical decision making
53 42 $326.06 $117.25
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
47 38 $30.75 $1.81
99282 Emergency department visit with straightforward medical decision making
42 39 $103.77 $41.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes
35 26 $108.00 $67.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
34 29 $362.33 $127.57
20610 Aspiration and/or injection of fluid from large joint
30 25 $205.00 $60.60
99238 Hospital discharge day management, 30 minutes or less
29 26 $244.14 $71.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes
28 16 $135.00 $38.60
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
25 19 $87.00 $43.45
G0008 Administration of influenza virus vaccine
25 25 $14.00 $13.32
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 $103.77
90662 Influenza vaccine split virus, preservative free
14 14 $114.75 $50.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage
12 12 $31.75 $17.48

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NM 81333

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
05645 (NM)
Commercial Insurance / Payer ID Railroad Medicare
060000475

Hospital & Practice Group Affiliations

Clayton Health Systems Inc

314 N 3rd Ave, Clayton, NM 884153302

Phone: 5053742273

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Nilo Rivera , MD

Internal Medicine

NPI 1821048695

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2009

Registered at 314 N 3RD AVE, CLAYTON, NM 884153302 (Tel: 5753748313)

📍
Updated Business Mailing Address July 15, 2009

Registered at 314 N 3RD AVE, CLAYTON, NM 884153302 (Tel: 5753748313)

👤
Provider Name / Credentials Updated July 15, 2009

Recorded as MARK VAN WORMER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2009

General Practice (License #81333 in NM)

🟢
Initial NPI Registration & Enumeration August 10, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013919034
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2005
Last Update: July 15, 2009
Sole Proprietor: No

Mailing Address

314 N 3rd Ave

Clayton, NM 884153302

Phone: 5753748313

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.