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DR. MARC ANDREW CAMPBELL D.O.
NPI 1134416126
Surgery in Knoxville, TN

Active since June 29, 2011PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
10810 PARKSIDE DR STE G-12, KNOXVILLE, TN 37934(865) 218-6085(865) 218-6086 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2023, Jun 26, 2020, May 4, 2020 and 2 more (5 updates tracked since 2017).

About Dr. Marc Andrew Campbell D.o. NPPES

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

DR. MARC ANDREW CAMPBELL D.O. (NPI 1134416126) is an individual surgery provider in Knoxville, Tennessee, licensed in Tennessee (3242) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-jefferson Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1134416126
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARC ANDREW CAMPBELLCredential: D.O.
Location Address10810 PARKSIDE DR STE G-12Knoxville, TN 37934-1982
Mailing Address10810 Parkside Dr Ste G-12Knoxville, TN 37934-1982 · (865) 218-6085 · Fax (865) 218-6086
Phone(865) 218-6085
Fax(865) 218-6086
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 29, 2011
Last NPPES UpdateJuly 17, 20235 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1134416126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 3242
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10810 PARKSIDE DR STE G-12, Knoxville, TN 37934
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Secondary Practice Locations 2

Location 110744 Hardin Valley Rd Ste 106Knoxville, TN 37932-1407 · Phone (865) 218-6085 · Fax (865) 218-6086
Location 2800 Oak Ridge Tpke Ste A403Oak Ridge, TN 37830-6957 · Phone (865) 218-6085 · Fax (865) 218-6086

Other Identifiers 1

MedicaidQ030443TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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

Dr. Marc Andrew Campbell D.o. 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 ID7214209311
PECOS Enrollment IDI20170824001823
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 8

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.

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.
85 services42 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.
54 services53 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 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.
24 services23 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.
23 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Tennova Healthcare-Jefferson Memorial Hospital

Acute Care Hospitals · Jefferson City, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440056
Location110 Hospital DriveJefferson City, TN 37760 · Jefferson County
Emergency services

Physicians Regional Medical Center

Acute Care Hospitals · Powell, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440120
Location7565 Dannaher Way PowellPowell, TN 37849 · Knox County
Emergency services Birthing friendly

Tennova Healthcare - Newport Medical Center

Acute Care Hospitals · Newport, TN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number440153
Location435 2nd StNewport, TN 37821 · Cocke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37934 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
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KIMBERLY DAVIS SMITH NP
Nurse Practitioner
10810 PARKSIDE DR STE G-12
KNOXVILLE, TN 37934
Knox County (865) 218-6085
MR. SEAN MARTIN LITTLE NP
Nurse Practitioner (Family)
10810 PARKSIDE DR STE G-12
KNOXVILLE, TN 37934
Knox County (865) 218-6085

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 Marc Campbell's NPI number?

The NPI number for Marc Campbell is 1134416126. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Marc Campbell located?

Marc Campbell practices at 10810 Parkside Dr Ste G-12, Knoxville, TN 37934. The listed phone number is (865) 218-6085.

What is Marc Campbell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marc Campbell enrolled in Medicare?

Yes. Marc Campbell 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 Marc Campbell 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 Marc Campbell 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 Marc Campbell affiliated with any hospitals?

According to CMS data, Marc Campbell is affiliated with Tennova Healthcare-Jefferson Memorial Hospital, Physicians Regional Medical Center and Tennova Healthcare - Newport Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Campbell was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.