MARK BERLACHER M.D.
NPI 1104239797
Internal Medicine - Cardiovascular Disease in Ft Wright, KY

Q: What is Mark Berlacher's NPI number?

The NPI number for Mark Berlacher is 1104239797. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Q: What is Mark Berlacher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Berlacher was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2014PECOS EnrolledAccepts Medicare Assignment

81.25/100

CMS Quality Rating

1955 DIXIE HWY STE E, FT WRIGHT, KY 41011(859) 292-4560(859) 292-4561 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mark Berlacher M.d. NPPES

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

MARK BERLACHER M.D. (NPI 1104239797) is an individual cardiovascular disease provider in Ft Wright, Kentucky, licensed in Kentucky (55150) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with Margaret Mary Community Hospital Inc, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1104239797

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameMARK BERLACHERCredential: M.D.

Location Address1955 DIXIE HWY STE EFt Wright, KY 41011-2882

Mailing Address541 Clinical Drive, Cl 626Indianapolis, IN 46202 · (800) 362-2066

Phone(859) 292-4560

Fax(859) 292-4561

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2014

Enumeration DateJune 11, 2014

Last NPPES UpdateAugust 16, 2021

NPPES CertifiedAugust 16, 2021

✔ NPI 1104239797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in KY · 55150✔ Licensed in OH · 35141460

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 11017791A (IN)

1955 DIXIE HWY STE E, Ft Wright, KY 41011

Open in Google Maps ↗

Secondary Practice Location 1

Location 17545 Beechmont Ave Ste DCincinnati, OH 45255-4238 · Phone (513) 206-1320 · Fax (513) 232-8483

Other Identifiers 1

Medicaid0440583OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mark Berlacher 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 ID9638394075

PECOS Enrollment IDI20210629003408, I20210629003440

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 35

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.

672 services472 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

354 services303 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

230 services213 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

171 services171 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.

123 services83 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

100 services100 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.

79 services78 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

73 services73 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

71 services71 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

58 services55 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

51 services49 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

50 services49 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

43 services43 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

41 services41 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

39 services39 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

35 services34 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

33 services33 patients

Ct scan of blood vessels and grafts of heart with contrast 75574

A CT scan of the heart's blood vessels and grafts with contrast is a diagnostic test. A special dye (contrast) is injected into your veins, which helps create clear images of your heart's vessels and grafts. This helps doctors detect blockages or other abnormalities.

32 services32 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services30 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

29 services29 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

29 services28 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

28 services28 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

24 services24 patients

Ultrasound of heart, follow-up 93308

24 services24 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

23 services23 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 services20 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

19 services19 patients

External shock to heart to regulate heart beat 92960

This procedure, known as cardioversion, uses an external electrical shock to restore your heart's normal rhythm. It's typically performed when irregular heartbeats, or arrhythmias, are causing severe symptoms and aren't responding to medications.

18 services18 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

18 services18 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

18 services17 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

18 services18 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

15 services15 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

13 services13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

11 services11 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151329

Location321 Mitchell AveBatesville, IN 47006 · Franklin County

Emergency services

Mercy Health-Anderson Hospital

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360001

Location7500 State RoadCincinnati, OH 45255 · Hamilton County

Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360163

Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Mercy Health - Clermont Hospital

Acute Care Hospitals · Batavia, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360236

Location3000 Hospital DriveBatavia, OH 45103 · Clermont County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

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.

81.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.93

Promoting Interoperability

100

Improvement Activities

Cost

57.57

Leave this field empty

Other Providers at the Same Location NPPES

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

DR. TADARRO LEE RICHARDSON JR. M.D.

Internal Medicine (Cardiovascular Disease)

1955 DIXIE HWY STE E
FT WRIGHT, KY 41011

Kenton County (859) 292-4560

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 Berlacher's NPI number?

The NPI number for Mark Berlacher is 1104239797. It was assigned to this individual provider in the NPPES registry on June 11, 2014.

Where is Mark Berlacher located?

Mark Berlacher practices at 1955 Dixie Hwy Ste E, Ft Wright, KY 41011. The listed phone number is (859) 292-4560.

What is Mark Berlacher's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Berlacher enrolled in Medicare?

Yes. Mark Berlacher 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 Berlacher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Mark Berlacher 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 Berlacher affiliated with any hospitals?

According to CMS data, Mark Berlacher is affiliated with Margaret Mary Community Hospital Inc, Mercy Health-Anderson Hospital, Christ Hospital, Mercy Health - West Hospital and Mercy Health - Clermont Hospital.

When was this NPI record last updated?

The NPPES record for Mark Berlacher was last updated on August 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.