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DR. MARK I. BRUNNER M.D.
NPI 1053386060
Internal Medicine - Gastroenterology in Danville, KY

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
212 S 2ND ST, DANVILLE, KY 40422(859) 236-5302(859) 236-5025 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 8, 2020, Apr 26, 2017 (2 updates tracked since 2017).

About Dr. Mark I. Brunner M.d. NPPES

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

DR. MARK I. BRUNNER M.D. (NPI 1053386060) is an individual gastroenterology provider in Danville, Kentucky, licensed in Kentucky (40350) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Cincinnati College Of Medicine (1999).

NPPES Registry Identity

NPI1053386060
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARK I. BRUNNERCredential: M.D.
Location Address212 S 2ND STDanville, KY 40422-1804
Mailing Address4071 Tates Creek Centre Dr, Ste 202Lexington, KY 40517-3094 · (859) 971-4695 · Fax (859) 971-4604
Phone(859) 236-5302
Fax(859) 236-5025
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1999
Enumeration DateFebruary 22, 2006
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1053386060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in KY · 40350
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
212 S 2ND ST, Danville, KY 40422
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100006290KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Mark I. Brunner M.d. 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 ID7214913789
PECOS Enrollment IDI20070424000245
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 9

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.

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
54 services49 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
50 services50 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.
42 services35 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
24 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255
This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DAVID MILTON CULPEPPER MD
Internal Medicine
212 S 2ND ST
DANVILLE, KY 40422
Boyle County (859) 209-2269
MARK A SPURLIN M.D.
Internal Medicine (Gastroenterology)
212 S 2ND ST
DANVILLE, KY 40422
Boyle County (859) 236-5302
GASTROENTEROLOGY ASSOCIATES OF CENTRAL KY PSC
Internal Medicine (Gastroenterology)
212 S 2ND ST
DANVILLE, KY 40422
Boyle County (859) 236-5302

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 Mark Brunner's NPI number?

The NPI number for Mark Brunner is 1053386060. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Mark Brunner located?

Mark Brunner practices at 212 S 2nd St, Danville, KY 40422. The listed phone number is (859) 236-5302.

What is Mark Brunner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Brunner enrolled in Medicare?

Yes. Mark Brunner 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 Mark Brunner accept?

Health plans from CareSource list Mark Brunner 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 Mark Brunner affiliated with any hospitals?

According to CMS data, Mark Brunner is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mark Brunner was last updated on December 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.