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MARK CARROLL EIDSON MD
NPI 1295726784
Family Medicine in Weatherford, TX

Active since November 02, 2005Opted out of Medicare · through May 15, 2028CLIA 45D0987552 · Waiver
710 E ANDERSON ST, STE C, WEATHERFORD, TX 76086(817) 599-9472(817) 458-0209 Get Directions Write a Review

NPPES record last updated: January 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Carroll Eidson Md NPPES

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

MARK CARROLL EIDSON MD (NPI 1295726784) is an individual family medicine provider in Weatherford, Texas, licensed in Texas (F3927) and active in the NPI registry since November 2005. He has opted out of Medicare through May 15, 2028 and remains eligible to order and refer and holds a CLIA Waiver certificate valid through June 6, 2027.

NPPES Registry Identity

NPI1295726784
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK CARROLL EIDSONCredential: MD
Location Address710 E ANDERSON ST, STE CWeatherford, TX 76086-5870
Mailing Address710 E Anderson St, Ste CWeatherford, TX 76086-5870 · (817) 599-9472 · Fax (817) 458-0209
Phone(817) 599-9472
Fax(817) 458-0209
Sole ProprietorYes
Enumeration DateNovember 2, 2005
Last NPPES UpdateJanuary 21, 2010
✔ NPI 1295726784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · F3927
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.
710 E ANDERSON ST, Weatherford, TX 76086
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Other Identifiers 3

Medicare ID-Type Unspecified00SF58TX
Medicaid110474702TX
Medicare UPINB22480

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mark Carroll Eidson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 15, 2014 through May 15, 2028.

Opt-Out Effective DateMay 15, 2014
Opt-Out In Effect ThroughMay 15, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0987552

Mark C Eidson · Weatherford, TX
Active · expires Jun 6, 2027
CLIA Number45D0987552
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2025
Certificate Expiration DateJune 6, 2027
Laboratory DirectorMark C. Eidson MD
Laboratory Phone(817) 599-9472
Laboratory LocationMark C Eidson707 State St, Weatherford, TX 76086
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76086 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$2.43 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,182 services$0.25 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 2

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

JAMES B NEWTON MD PA
Family Medicine
710 E ANDERSON ST, SUITE D
WEATHERFORD, TX 76086
Parker County (817) 599-7364
JAMES B NEWTON M.D.
Family Medicine
710 E ANDERSON ST, SUITE D
WEATHERFORD, TX 76086
Parker County (817) 599-7364

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 Eidson's NPI number?

The NPI number for Mark Eidson is 1295726784. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Mark Eidson located?

Mark Eidson practices at 710 E Anderson St Ste C, Weatherford, TX 76086. The listed phone number is (817) 599-9472.

What is Mark Eidson's specialty?

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

Is Mark Eidson enrolled in Medicare?

No. Mark Eidson has opted out of Medicare through May 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Does Mark Eidson hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0987552) is associated with this NPI, valid through June 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mark Eidson was last updated on January 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.