MARK PILKINTON, M.D.
Infectious Disease Physician · NASHVILLE, TN
Individual Active NPI 1184868481
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 277 | 841 | $581,165 | $86,482 | $68,724 |
| 2023 | 280 | 951 | $343,837 | $90,598 | $71,414 |
| 2022 | 232 | 883 | $178,719 | $82,677 | $66,727 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 291 | $109 | $87 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 243 | $73 | $58 |
| 99239 | Hospital discharge day management, more than 30 minutes | 107 | $105 | $84 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 84 | $159 | $125 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 48 | $89 | $71 |
| 99238 | Hospital discharge day management, 30 minutes or less | 24 | $74 | $59 |
| 99291 | Critical care, first 30-74 minutes | 19 | $195 | $156 |
| 99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 15 | $132 | $105 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ✓ | 50104 | TN |
| Internal Medicine Physician | 207R00000X | 50104 | TN |
Medicare participation
Enrolled in Medicare
CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.
Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.