Mark D Fetter MD PC
NPI 1124107206 · Orthopaedic Hand Surgery Physician · Prescott, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark D Fetter MD PC is a Orthopaedic Hand Surgery Physician organization in Prescott, AZ (NPI 1124107206).
Provider details
- NPI number
- 1124107206
- Entity type
- Organization
- Primary specialty
- Orthopaedic Hand Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Fetter, President(480) 985-1093
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2007-10-10
Frequently asked questions
- What is Mark D Fetter MD PC's NPI number?
- Mark D Fetter MD PC's National Provider Identifier (NPI) is 1124107206, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mark D Fetter MD PC?
- Mark D Fetter MD PC is classified in the NPPES registry as Orthopaedic Hand Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark D Fetter MD PC located?
- Mark D Fetter MD PC's practice location on file with NPPES is 1615 Petroglyph Point Dr, Prescott, AZ 86301-6539.
- What is Mark D Fetter MD PC's phone number?
- The practice phone number listed in the NPPES registry for Mark D Fetter MD PC is (480) 985-1093.
- Does Mark D Fetter MD PC accept Medicare?
- Mark D Fetter MD PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mark D Fetter MD PC?
- The authorized official listed on Mark D Fetter MD PC's NPPES record is Mark Fetter, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mark D Fetter MD PC's NPI active?
- Yes — Mark D Fetter MD PC's NPI (1124107206) is active in the NPPES registry as of the last update on 2007-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.