MARK A SPURLIN M.D.
NPI 1275552168
Internal Medicine - Gastroenterology in Danville, KY

Q: What is Mark Spurlin's NPI number?

The NPI number for Mark Spurlin is 1275552168. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Mark Spurlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Mark Spurlin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 19, 2006PECOS EnrolledAccepts Medicare Assignment

95.5/100

CMS Quality Rating

212 S 2ND ST, DANVILLE, KY 40422(859) 236-5302(859) 236-5025 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Dec 3, 2020, Oct 15, 2018 and 1 more (4 updates tracked since 2017).

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About Mark A Spurlin M.d. NPPES

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

MARK A SPURLIN M.D. (NPI 1275552168) is an individual gastroenterology provider in Danville, Kentucky, licensed in Kentucky (24030) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of University Of Kentucky College Of Medicine (1984).

NPPES Registry Identity

NPI1275552168

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMARK A SPURLINCredential: M.D.

Location Address212 S 2ND STDanville, KY 40422-1804

Mailing Address230 Lexington Green Cir, Ste 600Lexington, KY 40503-3326 · (859) 971-4695 · Fax (859) 971-4604

Phone(859) 236-5302

Fax(859) 236-5025

Sole ProprietorNo

Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1984

Enumeration DateJuly 19, 2006

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

NPPES CertifiedDecember 3, 2020

✔ NPI 1275552168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in KY · 24030

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

212 S 2ND ST, Danville, KY 40422

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Other Identifiers 1

Medicaid64240302KY

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

Mark A Spurlin 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 ID9638274400

PECOS Enrollment IDI20100721000828

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.

Hospital Affiliations CMS Care Compare

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number180103

Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40422 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

$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.

95.5/100

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

Scored through an Alternative Payment Model

Quality

89.59

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 3

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

DR. MARK I. BRUNNER M.D.

Internal Medicine (Gastroenterology)

212 S 2ND ST
DANVILLE, KY 40422

Boyle County (859) 236-5302

DAVID MILTON CULPEPPER MD

Internal Medicine

212 S 2ND ST
DANVILLE, KY 40422

Boyle County (859) 209-2269

GASTROENTEROLOGY ASSOCIATES OF CENTRAL KY PSC

Internal Medicine (Gastroenterology)

212 S 2ND ST
DANVILLE, KY 40422

Boyle County (859) 236-5302

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 Spurlin's NPI number?

The NPI number for Mark Spurlin is 1275552168. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Mark Spurlin located?

Mark Spurlin practices at 212 S 2nd St, Danville, KY 40422. The listed phone number is (859) 236-5302.

What is Mark Spurlin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Spurlin enrolled in Medicare?

Yes. Mark Spurlin 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 Spurlin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Mark Spurlin 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 Spurlin affiliated with any hospitals?

According to CMS data, Mark Spurlin is affiliated with Baptist Health Lexington.

When was this NPI record last updated?

The NPPES record for Mark Spurlin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.