MARK STANLEY, DO
Family Medicine Physician · FRANKLIN, TN
Individual Active NPI 1427403088
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 165 | 819 | $118,305 | $48,018 | $32,904 |
| 2023 | 165 | 688 | $113,306 | $50,478 | $35,951 |
| 2022 | 141 | 659 | $77,931 | $31,971 | $22,426 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 206 | $73 | $30 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 126 | $64 | $36 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 118 | $50 | $50 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 34 | $48 | $33 |
| G0008 | Administration of influenza virus vaccine | 29 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 28 | $76 | $76 |
| 83036 | Hemoglobin a1c level | 18 | $10 | $10 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $273 | $273 |
| G0009 | Administration of pneumococcal vaccine | 18 | $28 | $28 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 17 | $81 | $52 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 13 | $12 | $7 |
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | 12 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ✓ | 3797 | TN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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.