DR. CHRISTIAN TYLER MARCUM DO
NPI 1275196362
Family Medicine in Lexington, KY

Q: What is Christian Marcum's NPI number?

The NPI number for Christian Marcum is 1275196362. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Q: What is Christian Marcum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Christian Marcum was last updated on May 25, 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.

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment

97.4/100

CMS Quality Rating

2195 HARRODSBURG RD STE 125, LEXINGTON, KY 40504(859) 323-6371(859) 257-3585 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 25, 2023, Jun 10, 2022, Apr 15, 2019 (3 updates tracked since 2019).

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About Dr. Christian Tyler Marcum Do NPPES

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

DR. CHRISTIAN TYLER MARCUM DO (NPI 1275196362) is an individual family medicine provider in Lexington, Kentucky, licensed in Kentucky (05048) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Carteret General Hospital, and maintains a secondary practice location in Prestonsburg.

NPPES Registry Identity

NPI1275196362

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. CHRISTIAN TYLER MARCUMCredential: DO

Location Address2195 HARRODSBURG RD STE 125Lexington, KY 40504-3543

Mailing Address126 S Elm StPikeville, KY 41501-9019 · (606) 369-1651

Phone(859) 323-6371

Fax(859) 257-3585

Sole ProprietorNo

Medical School CMSUniversity Of Pikeville, Kentucky College Of Osteopathic MedGraduated 2019

Enumeration DateApril 15, 2019

Last NPPES UpdateMay 25, 20233 updates tracked since enumeration

NPPES CertifiedMay 25, 2023

✔ NPI 1275196362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 05048

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2195 HARRODSBURG RD STE 125, Lexington, KY 40504

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Secondary Practice Location 1

Location 1535 N Lake DrPrestonsburg, KY 41653-1278 · Phone (606) 886-8466

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Christian Tyler Marcum Do 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 ID9234529678

PECOS Enrollment IDI20240916001554

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

Medicare enrollment records show Christian Marcum reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky

Same address

General Practice

2195 HARRODSBURG RD STE 175
Lexington, KY 40504

Reassigned Medicare billing, Kentucky enrollment
1,761 clinicians in this Medicare group

NPI 1194852582 (859) 257-9272

Kentucky Medical Services Foundation, Inc

4.7 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

Appalachian Regional Healthcare, Inc.

70 mi

Rural Health

1084 HIGHWAY 7, SUITE 2
West Liberty, KY 41472

Reassigned Medicare billing, Kentucky enrollment
419 clinicians in this Medicare group

NPI 1780043927 (606) 743-3065

Arh Tug Valley Health Services, Inc.

83 mi

Multi-Specialty

787 PARKWAY DR
Salyersville, KY 41465

Reassigned Medicare billing, Kentucky enrollment
242 clinicians in this Medicare group

NPI 1942962105 (606) 349-3511

Floyd Emergency Group, LLC

100 mi

Emergency Medicine

5000 KY ROUTE 321
Prestonsburg, KY 41653

Reassigned Medicare billing, Kentucky enrollment
57 clinicians in this Medicare group

NPI 1760834345 (606) 886-8511

Carteret County General Hospital Corporation

490 mi

Urgent Care

3722 BRIDGES ST, SUITE A
Morehead City, NC 28557

Reassigned Medicare billing, North Carolina enrollment
283 clinicians in this Medicare group

NPI 1184951840 (252) 808-6136

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

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.

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.

195 services78 patients

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.

76 services59 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

76 services52 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.

73 services69 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

53 services15 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

43 services18 patients

Hospital Affiliations CMS Care Compare

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

Carteret General Hospital

Acute Care Hospitals · Morehead City, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340142

Location3500 Arendell StMorehead City, NC 28557 · Carteret County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40504 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

$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.

97.4/100

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

Scored through an Alternative Payment Model

Quality

76.55

Promoting Interoperability

100

Improvement Activities

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.

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