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MARK D COHEN M.D.
NPI 1376545053
Internal Medicine - Cardiovascular Disease in Albany, GA

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment
425 W 3RD AVE, SUITE 600, ALBANY, GA 31701(229) 431-1022(229) 431-2068 Get Directions Write a Review

NPPES record last updated: July 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark D Cohen M.d. NPPES

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

MARK D COHEN M.D. (NPI 1376545053) is an individual cardiovascular disease provider in Albany, Georgia, licensed in Georgia (62107) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of Indiana University School Of Medicine (1979).

NPPES Registry Identity

NPI1376545053
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARK D COHENCredential: M.D.
Location Address425 W 3RD AVE, SUITE 600Albany, GA 31701-1941
Mailing Address425 W 3rd Ave, Suite 600Albany, GA 31701-1941 · (229) 431-1022 · Fax (229) 431-2068
Phone(229) 431-1022
Fax(229) 431-2068
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1979
Enumeration DateAugust 12, 2005
Last NPPES UpdateJuly 14, 2010
✔ NPI 1376545053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in GA · 62107✔ Licensed in IN · 01029427A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 01029427A (IN), 62107 (GA)
425 W 3RD AVE, Albany, GA 31701
Open in Google Maps ↗

Other Identifiers 2

Medicaid879450752AGA
Medicare UPIND80406GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, 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 D Cohen 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 ID1456254473
PECOS Enrollment IDI20090204000574
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.

Areas of Expertise CMS Part B claims 11

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
230 services187 patients
Ultrasound of heart 93307
An ultrasound of the heart, also known as an echocardiogram, is a non-invasive procedure that uses sound waves to create images of your heart. This test allows your doctor to monitor how your heart and its valves are functioning. It's a safe, painless process that can help diagnose heart conditions.
146 services142 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.
97 services89 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
71 services59 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
59 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Phoebe Sumter Medical Center

Acute Care Hospitals · Americus, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110044
Location126 Highway 280 WAmericus, GA 31719 · Sumter County
Emergency services Birthing friendly

Phoebe Worth Medical Center

Critical Access Hospitals · Sylvester, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number111328
Location807 South Isabella StreetSylvester, GA 31791 · Worth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31701 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%976 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%4,065 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%215 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%780 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%764 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 168 patients
85%168 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%780 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
14%780 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
26%780 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRITTANY PINES FNP-C
Nurse Practitioner (Family)
425 W 3RD AVE, SUITE 105
ALBANY, GA 31701
Dougherty County (229) 312-2380
TRACI K YAWN FNP
Nurse Practitioner (Family)
425 W 3RD AVE, STE 105
ALBANY, GA 31701
Dougherty County (229) 312-0707
SOUTHERN DIAGNOSTIC SERVICES, INC.
Physiological Laboratory
425 W 3RD AVE, SUITE 510
ALBANY, GA 31701
Dougherty County (229) 312-7519
DR. CLAY THOMAS M.D.
Family Medicine
425 W 3RD AVE, SUITE 500
ALBANY, GA 31701
Dougherty County (229) 312-5222
PAMELA P FREEMAN FNP-C
Nurse Practitioner (Family)
425 W 3RD AVE, STE 600
ALBANY, GA 31701
Dougherty County (229) 312-7500
JOHN CHARLES BENNETT MD
Surgery
425 W 3RD AVE, SUITE 410
ALBANY, GA 31701
Dougherty County (229) 312-0707
DONALD L GEISMAN JR. P.A.
Physician Assistant
425 W 3RD AVE, SUITE 600
ALBANY, GA 31701
Dougherty County (229) 431-1022
CASSANDRA R STEWART NP
Nurse Practitioner (Family)
425 W 3RD AVE, STE 550
ALBANY, GA 31701
Dougherty County (229) 432-8643

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 Cohen's NPI number?

The NPI number for Mark Cohen is 1376545053. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Mark Cohen located?

Mark Cohen practices at 425 W 3rd Ave Suite 600, Albany, GA 31701. The listed phone number is (229) 431-1022.

What is Mark Cohen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Cohen enrolled in Medicare?

Yes. Mark Cohen 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 Cohen accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mark Cohen 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 Cohen affiliated with any hospitals?

According to CMS data, Mark Cohen is affiliated with Phoebe Putney Memorial Hospital, Phoebe Sumter Medical Center and Phoebe Worth Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Cohen was last updated on July 14, 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.