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MR. MARK A RISEN DPM
NPI 1174571004
Podiatrist - Primary Podiatric Medicine in Campbellsville, KY

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
90.35/100
CMS Quality Rating
1003 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718(270) 433-5806(270) 433-2443 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jul 21, 2022, Jun 16, 2018 and 2 more (5 updates tracked since 2017).

About Mr. Mark A Risen Dpm NPPES

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

MR. MARK A RISEN DPM (NPI 1174571004) is an individual primary podiatric medicine provider in Campbellsville, Kentucky, licensed in Kentucky (00216) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1174571004
Entity TypeIndividualMale
Primary Taxonomy213EP1101X
Provider Legal NameMR. MARK A RISENCredential: DPM
Location Address1003 OLD GREENSBURG RDCampbellsville, KY 42718-2571
Mailing AddressPo Box 645996Cincinnati, OH 45264-5996 · (270) 651-4444 · Fax (270) 651-4892
Phone(270) 433-5806
Fax(270) 433-2443
Sole ProprietorNo
Medical School CMSCollege Of Physicians And Surgeons (iowa)Graduated 1993
Enumeration DateMay 4, 2006
Last NPPES UpdateJuly 10, 20255 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
✔ NPI 1174571004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License✔ Licensed in KY · 00216
Also ListedPodiatristTaxonomy 213E00000X · License 00216 (KY)
1003 OLD GREENSBURG RD, Campbellsville, KY 42718
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1310 N L Rogers Wells BlvdGlasgow, KY 42141-1300 · Phone (270) 651-6791 · Fax (270) 659-5850
Location 2810 Jamestown StColumbia, KY 42728-1010 · Phone (270) 384-4764 · Fax (270) 384-2828
Location 31301 N Race StGlasgow, KY 42141-3483 · Phone (270) 651-4444 · Fax (270) 651-4892
Location 4138 Campbellsville BypCampbellsville, KY 42718-8843 · Phone (270) 433-5806 · Fax (270) 433-2443

Other Identifiers 1

Medicaid80002165KY

Accepted Insurance

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

Mr. Mark A Risen Dpm 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 ID3577456110
PECOS Enrollment IDI20040206000061
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 10

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.
1,024 services494 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.
665 services374 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.
303 services303 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
222 services166 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
131 services40 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
93 services46 patients

Hospital Affiliations CMS Care Compare

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

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.

90.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.28
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
69%64 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
65%7,312 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
59%1,314 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
44%3,006 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%6,814 patients2/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,374 patients
Patients totalRate: 0% · 1,374 patients
0%1,374 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard A6451
DME-Medical/Surgical Supplies · category DA023N
1 supplier62 claims136 services$1.68 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

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

MARK A RISEN, DPM,
Podiatrist
1003 OLD GREENSBURG RD
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-4342

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 Risen's NPI number?

The NPI number for Mark Risen is 1174571004. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Mark Risen located?

Mark Risen practices at 1003 Old Greensburg Rd, Campbellsville, KY 42718. The listed phone number is (270) 433-5806.

What is Mark Risen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Mark Risen enrolled in Medicare?

Yes. Mark Risen 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 Risen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Mark Risen 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 Risen affiliated with any hospitals?

According to CMS data, Mark Risen is affiliated with T J Samson Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Risen was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.