DR. MARK ALLEN CLAPP M.D.
NPI 1376592782
Family Medicine in Cookeville, TN

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
315 N WASHINGTON AVE, SUITE 130, COOKEVILLE, TN 38501(931) 526-1050(931) 526-8163 Get Directions Write a Review

NPPES record last updated: October 22, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Allen Clapp M.d. NPPES

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

DR. MARK ALLEN CLAPP M.D. (NPI 1376592782) is an individual family medicine provider in Cookeville, Tennessee, licensed in Tennessee (18488) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Livingston Hospital And Healthcare Services, Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (1996).

NPPES Registry Identity

NPI1376592782
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK ALLEN CLAPPCredential: M.D.
Location Address315 N WASHINGTON AVE, SUITE 130Cookeville, TN 38501-2603
Mailing Address315 N Washington Ave, Suite 130Cookeville, TN 38501-2603 · (931) 526-1050 · Fax (931) 526-8163
Fax(931) 526-8163
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 1996
Enumeration DateMay 10, 2006
Last NPPES UpdateOctober 22, 2021
NPPES CertifiedOctober 22, 2021
NPI 1376592782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · 18488
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License C0365 (KY)
315 N WASHINGTON AVE, Cookeville, TN 38501

Other Identifiers 1

Medicaid3030409TN

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

Dr. Mark Allen Clapp 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 ID6305838780
PECOS Enrollment IDI20211026002871
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.

Livingston Hospital And Healthcare Services, Inc

Critical Access Hospitals · Salem, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181320
Location131 Hospital DriveSalem, KY 42078 · Livingston County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.
99%118 patients4/55-star benchmark: 100%
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%20 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: 100% · 20 patients
35%20 patients2/55-star benchmark: 98%
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers26 claims26 services$19.66 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$114.37 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 20

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

Specialist
315 N WASHINGTON AVE, SUITE 201
COOKEVILLE, TN 38501
Internal Medicine
315 N WASHINGTON AVE, STE 165
COOKEVILLE, TN 38501
Specialist/Technologist (Athletic Trainer)
315 N WASHINGTON AVE
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
315 N WASHINGTON AVE, STE 102
COOKEVILLE, TN 38501
Family Medicine
315 N WASHINGTON AVE, SUITE 265
COOKEVILLE, TN 38501
Nurse Practitioner (Family)
315 N WASHINGTON AVE, SUITE 210
COOKEVILLE, TN 38501
Family Medicine
315 N WASHINGTON AVE, SUITE 230
COOKEVILLE, TN 38501
Physical Therapist
315 N WASHINGTON AVE, 240
COOKEVILLE, TN 38501

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 Clapp's NPI number?

The NPI number for Mark Clapp is 1376592782. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Mark Clapp located?

Mark Clapp practices at 315 N Washington Ave Suite 130, Cookeville, TN 38501. The listed phone number is (931) 526-1050.

What is Mark Clapp's specialty?

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

Is Mark Clapp enrolled in Medicare?

Yes. Mark Clapp 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.

Is Mark Clapp affiliated with any hospitals?

According to CMS data, Mark Clapp is affiliated with Livingston Hospital And Healthcare Services, Inc.

When was this NPI record last updated?

The NPPES record for Mark Clapp was last updated on October 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.