MARK EDWARD ROBINSON M. D.
NPI 1356314140
Family Medicine in Brewton, AL


Quality Rating: 89.15 out of 100 score

NPI Status: Active since February 10, 2006

Contact Information

1121 BELLEVILLE AVE
BREWTON, AL
ZIP 36426
Phone: (251) 809-3160
Fax: (251) 809-3165

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  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About MARK ROBINSON

Mark Robinson is a primary care provider established in Brewton, Alabama and his medical specialization is Family Medicine. The healthcare provider is registered in the NPI registry with number 1356314140 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 12821 (AL). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1356314140
Provider Name
MARK EDWARD ROBINSON M. D.
Gender
Male
Entity Type
Individual
Location Address
1121 BELLEVILLE AVE BREWTON, AL 36426
Location Phone
(251) 809-3160
Location Fax
(251) 809-3165
Mailing Address
PO BOX 648 BREWTON, AL 36427
Mailing Phone
(251) 809-3160
Mailing Fax
(251) 809-3165
Is Sole Proprietor?
No
Enumeration Date
02-10-2006
Last Update Date
01-16-2008
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A primary care provider (PCP) like Mark Robinson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.15, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
12821
License State
AL
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
    • Blue Access Gold for Business - PPO
    • Blue Choice Platinum for Business - PPO
    • Blue HSA Silver for Business - PPO
    • Blue Saver Bronze for Business - PPO
    • Blue Saver Gold for Business - PPO
    • Blue Secure Gold for Business - PPO
    • Blue Secure Silver for Business - PPO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
C78780MEDICARE UPIN (02) 
080015173MEDICARE PIN (08)AL 
000019710MEDICAID (05)AL 
051019710ROBMEDICARE ID-TYPE UNSPECIFIED (04)AL 

PECOS Enrollment and Medicare Participation Status

Mark Robinson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 36426 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.95
  • Minimum New Patient Price $55.54
  • Maximum New Patient Price $170.61
  • Average New Patient Copayment $21.48
  • Minimum New Patient Copayment $13.88
  • Maximum New Patient Copayment $42.65

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $99.33
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $139.08
  • Average Established Patient Copayment $24.83
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $34.77

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 89.15 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 83.01

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 95

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 706

    Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)

  • 146

    Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)

  • 70

    Insertion of needle into vein for collection of blood sample (HCPCS:36415)

  • 63

    Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

  • 60

    Blood test, comprehensive group of blood chemicals (HCPCS:80053)

  • 26

    Urinalysis, manual test (HCPCS:81002)

  • 16

    Hemoglobin a1c level (HCPCS:83036)

Reviews for MARK EDWARD ROBINSON M. D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356314140
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2310661818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 6 + 1 + 8 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1356314140 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699747469 WILLIAM HERMAN WHITTLE M.D.
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3120
1508839754 ROBERT SCOTT NELSON M. D.
Individual
Emergency Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1134170095 MELISSA LYNN HEATH MD
Individual
Obstetrics & Gynecology1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1336196856BREWTON MEDICAL CENTER, LLC
Organization
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1356364459 JIMMY WAYNE ADKISSON DO
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1871601427DR. ROBERT ANTHONY DEFRANCISCO PHD
Individual
Psychologist (Clinical)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3290
1053410977MR. CHARLES DANIEL COTTRELL R.PH.
Individual
Pharmacist1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-5454
1255405254BREWTON MEDICAL CENTER PHARMACY
Organization
Durable Medical Equipment & Medical Supplies1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-5454
1437280062DR. MARINA LYNN THOMPSON M.D.
Individual
Pediatrics1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1265639348BREWTON MEDICAL CENTER PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-5454
1497918999PULMONARY ASSOCIATES OF MOBILE, PC
Organization
Internal Medicine (Pulmonary Disease)1121 BELLEVILLE AVE SUITE B
BREWTON, AL 36426
(251) 445-4797
1023446507BERRYHILL ORTHOPAEDICS PA
Organization
Orthopaedic Surgery1121 BELLEVILLE AVE
BREWTON, AL 36426
(850) 626-1461
1265762066MRS. KENDI ELISE KIRBY PA-C
Individual
Physician Assistant1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240
1124214770 DEANAH MAXWELL MD
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3220
1003299074 MAMIE KENNEDY CRNP
Individual
Nurse Practitioner (Family)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3208
1902399702 ANGELICA WILLIAMS
Individual
Nurse Practitioner (Family)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 867-6071
1184280067THE LISTENING PLACE LLC
Organization
Community/Behavioral Health1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 236-7076
1750354544DR. JOE F TERRELL M. D.
Individual
Family Medicine1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3130
1720533011 SUMMER LODUCA LPC
Individual
Counselor (Mental Health)1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240
1467060954LODUCA PEDIATRICS, LLC
Organization
Pediatrics1121 BELLEVILLE AVE
BREWTON, AL 36426
(251) 809-3240

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356314140, enumerated in the NPI registry as an "individual" on February 10, 2006

The provider is located at 1121 Belleville Ave Brewton, Al 36426 and the phone number is (251) 809-3160

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 11, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $85.95 with an average copayment of $21.48 for new patient appointments. Established patients should expect a typical charge of $99.33 and an average copayment of 24.83. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Injection, dexamethasone sodium phosphate, 1 mg, Injection beneath the skin or into muscle for therapy, diagnosis, or prevention, Insertion of needle into vein for collection of blood sample, Complete blood cell count (red cells, white blood cell, platelets), automated test, Blood test, comprehensive group of blood chemicals, Urinalysis, manual test and Hemoglobin a1c level.

This NPI record was last updated on February 10, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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