DR. MICHAEL ALAN MARKS M.D.
NPI 1114906898
Radiology - Diagnostic Radiology in Somerset, KY

Active since January 11, 2006PECOS Enrolled
78.75/100
CMS Quality Rating
305 LANGDON ST, SOMERSET, KY 42503(606) 679-7441(606) 678-9919 Get Directions Write a Review

NPPES record last updated: August 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Alan Marks M.d. NPPES

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

DR. MICHAEL ALAN MARKS M.D. (NPI 1114906898) is an individual diagnostic radiology provider in Somerset, Kentucky, licensed in Tennessee (31270) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114906898
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL ALAN MARKSCredential: M.D.
Location Address305 LANGDON STSomerset, KY 42503-2750
Mailing AddressPo Box 3176West Somerset, KY 42564-3176 · (606) 678-9105 · Fax (606) 678-2296
Fax(606) 678-9919
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateAugust 4, 2008
✔ NPI 1114906898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TN · 31270✔ Licensed in KY · 35901
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
305 LANGDON ST, Somerset, KY 42503

Other Identifiers 8

Medicare PIN00151031KY
Medicare PINP00603616KY
Medicare PIN00280042KY
Medicare PIN00503007KY
Medicare PIN0684414KY
Medicare ID-Type Unspecified3837361TN
Medicare UPINE28655TN
Medicaid3837361TN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Alan Marks M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Marks reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3600 CUMBERLAND AVE
Middlesboro, KY 40965
  • Reassigned Medicare billing, Kentucky enrollment
  • 419 clinicians in this Medicare group
Diagnostic Radiology
210 25TH AVE N STE 602
Nashville, TN 37203
  • Reassigned Medicare billing, Kentucky enrollment
  • 144 clinicians in this Medicare group
Diagnostic Radiology
651 DUNLOP LN
Clarksville, TN 37040
  • Reassigned Medicare billing, Tennessee enrollment
  • 24 clinicians in this Medicare group
Diagnostic Radiology
800 WASHINGTON ST, BOX 1013
Boston, MA 02111
  • Reassigned Medicare billing, Massachusetts enrollment
  • 132 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Rural Health)
305 LANGDON ST
SOMERSET, KY 42503
Anesthesiology
305 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Surgery
305 LANGDON ST, LAKE CUMBERLAND REGIONAL HOSP
SOMERSET, KY 42503
Physician Assistant
305 LANGDON ST, STE H
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
305 LANGDON ST
SOMERSET, KY 42503
Neurological Surgery
305 LANGDON ST
SOMERSET, KY 42503
Emergency Medicine
305 LANGDON ST
SOMERSET, KY 42503

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 Michael Marks's NPI number?

The NPI number for Michael Marks is 1114906898. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Michael Marks located?

Michael Marks practices at 305 Langdon St, Somerset, KY 42503. The listed phone number is (606) 679-7441.

What is Michael Marks's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Marks enrolled in Medicare?

Yes. Michael Marks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Marks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Marks reassigns Medicare benefits to 4 organizations: Appalachian Regional Healthcare, Inc. (Middlesboro, KY), Radiology Alliance PC (Nashville, TN), Dynamic Radiology Tennessee, PC (Clarksville, TN) and Pratt Radiology Associates, Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Marks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Marks accept?

Health plans from CareSource, Cigna Healthcare and Taro Health list Michael Marks 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.

When was this NPI record last updated?

The NPPES record for Michael Marks was last updated on August 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.