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MARK W BOOKOUT M.D.
NPI 1356339063
Otolaryngology in East Ridge, TN

Active since October 07, 2005PECOS Enrolled
4151 RINGGOLD RD, EAST RIDGE, TN 37412(423) 622-5165(423) 622-5167 Get Directions Write a Review

NPPES record last updated: December 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark W Bookout M.d. NPPES

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

MARK W BOOKOUT M.D. (NPI 1356339063) is an individual otolaryngology provider in East Ridge, Tennessee, licensed in Tennessee (011511) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356339063
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMARK W BOOKOUTCredential: M.D.
Location Address4151 RINGGOLD RDEast Ridge, TN 37412-2434
Mailing Address6918 Shallowford Rd, Suite 206Chattanooga, TN 37421-6784 · (423) 855-2552 · Fax (423) 855-9041
Phone(423) 622-5165
Fax(423) 622-5167
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateDecember 10, 2012
✔ NPI 1356339063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in TN · 011511✔ Licensed in GA · 025947
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4151 RINGGOLD RD, East Ridge, TN 37412
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Other Identifiers 4

Medicaid000282125BGA
Medicaid3021453TN
Medicare UPINA98527
Medicare PIN3021454TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark W Bookout M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37412 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bookout's NPI number?

The NPI number for Mark Bookout is 1356339063. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Mark Bookout located?

Mark Bookout practices at 4151 Ringgold Rd, East Ridge, TN 37412. The listed phone number is (423) 622-5165.

What is Mark Bookout's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Bookout enrolled in Medicare?

Yes. Mark Bookout is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Bookout was last updated on December 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.