Mark Ryan Wisthoff, DO - Medicare Family Practice in Denver, CO

Mark Ryan Wisthoff, DO is a medicare enrolled "Family Medicine" physician in Denver, Colorado. He went to Mid West Medical College and graduated in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 4660 Yosemite St Ste 100, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (720) 516-8902.

Mark Ryan Wisthoff is licensed to practice in Colorado (license number DR.0050751) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730407321.

Contact Information

Mark Ryan Wisthoff, DO
4660 Yosemite St Ste 100,
Denver, CO 80238-4481
(720) 516-8902
(720) 516-8903

Map and Direction




Physician's Profile

Full NameMark Ryan Wisthoff
GenderMale
SpecialityFamily Practice
Experience14 Years
Location4660 Yosemite St Ste 100, Denver, Colorado
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark Ryan Wisthoff attended and graduated from Mid West Medical College in 2010
  NPI Data:
  • NPI Number: 1730407321
  • Provider Enumeration Date: 05/06/2010
  • Last Update Date: 05/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012211824
  • Enrollment ID: I20160215001125

Medical Identifiers

Medical identifiers for Mark Ryan Wisthoff such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730407321NPI-NPPES
18780083MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 50751 (Colorado)Secondary
207QS0010XFamily Medicine - Sports Medicine DR.0050751 (Colorado)Secondary
207Q00000XFamily Medicine DR.0050751 (Colorado)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Colorado Hospital AuthorityAurora, COHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poudre Valley Medical Group Llc96382085491607

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark Ryan Wisthoff allows following entities to bill medicare on his behalf.
Entity NamePoudre Valley Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Ryan Wisthoff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mark Ryan Wisthoff, DO
2695 Rocky Mountain Ave Ste 150,
Loveland, CO 80538-9071

Ph: (970) 624-4451
Mark Ryan Wisthoff, DO
4660 Yosemite St Ste 100,
Denver, CO 80238-4481

Ph: (720) 516-8902

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.