MARY AXELRAD MD
NPI 1003278672
Family Medicine in Kingsport, TN

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
4848 FORT HENRY DR, KINGSPORT, TN 37663(423) 239-5141(423) 239-4869 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2023, Jul 21, 2021, Jan 27, 2021 and 1 more (4 updates tracked since 2016).

About Mary Axelrad Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY AXELRAD MD (NPI 1003278672) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (58418) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1003278672
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARY AXELRADCredential: MD
Location Address4848 FORT HENRY DRKingsport, TN 37663-3347
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2093 · Fax (423) 390-3340
Fax(423) 239-4869
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateJanuary 16, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2024
NPI 1003278672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 58418
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4848 FORT HENRY DR, Kingsport, TN 37663

Secondary Practice Locations 3

Location 1208 Medical Park BlvdBristol, TN 37620-7343 · Phone (423) 989-4050 · Fax (423) 990-3045
Location 2917 W Walnut StJohnson City, TN 37604-6527 · Phone (423) 439-6464 · Fax (423) 439-7118
Location 3102 E Ravine RdKingsport, TN 37660-3814 · Phone (423) 245-9600 · Fax (423) 245-9634

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary Axelrad Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931441441
PECOS Enrollment IDI20190502003023
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37663 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers33 claims33 services$91.45 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$34.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
4848 FORT HENRY DR
KINGSPORT, TN 37663
Nurse Practitioner (Family)
4848 FORT HENRY DR
KINGSPORT, TN 37663
Physician Assistant
4848 FORT HENRY DR
KINGSPORT, TN 37663
Family Medicine
4848 FORT HENRY DR
KINGSPORT, TN 37663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Axelrad's NPI number?

The NPI number for Mary Axelrad is 1003278672. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Mary Axelrad located?

Mary Axelrad practices at 4848 Fort Henry Dr, Kingsport, TN 37663. The listed phone number is (423) 239-5141.

What is Mary Axelrad's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mary Axelrad enrolled in Medicare?

Yes. Mary Axelrad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Axelrad accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Mary Axelrad as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Axelrad affiliated with any hospitals?

According to CMS data, Mary Axelrad is affiliated with Wellmont Bristol Regional Medical Center, Wellmont Holston Valley Medical Center and Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Axelrad was last updated on January 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.