MARK T. PETERS M.D.
NPI 1386686137
Internal Medicine - Pulmonary Disease in Nashville, TN

Q: What is Mark Peters's NPI number?

The NPI number for Mark Peters is 1386686137. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Mark Peters's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Mark Peters was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

4230 HARDING PIKE, SUITE 400, NASHVILLE, TN 37205(615) 297-2700(615) 386-2399 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mark T. Peters M.d. NPPES

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

MARK T. PETERS M.D. (NPI 1386686137) is an individual pulmonary disease provider in Nashville, Tennessee, licensed in Tennessee (21581) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of Ohio State University College Of Medicine (1987).

NPPES Registry Identity

NPI1386686137

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMARK T. PETERSCredential: M.D.

Location Address4230 HARDING PIKE, SUITE 400Nashville, TN 37205-2013

Mailing Address104 Woodmont Blvd, Suite 400Nashville, TN 37205-2245 · (615) 386-2300 · Fax (615) 386-2399

Phone(615) 297-2700

Fax(615) 386-2399

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1987

Enumeration DateJune 12, 2006

Last NPPES UpdateMay 7, 2015

✔ NPI 1386686137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TN · 21581

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 021581 (TN)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 021581 (TN)

Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X · License 021581 (TN)

4230 HARDING PIKE, Nashville, TN 37205

Open in Google Maps ↗

Other Identifiers 14

Other12255039TN · Multiplan/phcs

Other164099509TN · United Healthcare

Other1100342185TN · Usa Ppo-geha

Other290013797TN · Medicare Rr

Other849925TN · Usa-mco

OtherTN0190TN · Americhoice-tenncare Only

Other10077103TN · Amerigroup-tncare And Mcr Advantage

Medicaid1508914TN

Other2092886TN · Cigna

Other5557149TN · Aetna

Other4018883TN · Blue Cross Of Tn

Medicare PIN3066694TN

Medicaid64920762KY

Medicare PIN103I299233TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia 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 T. Peters 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 ID9537242144

PECOS Enrollment IDI20100920000576, I20260225003033

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 17

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

390 services139 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.

371 services234 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

282 services234 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

279 services78 patients

Test to determine lung volumes using gas dilution or washout 94727

This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.

177 services156 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

177 services156 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

161 services134 patients

Test to measure expiratory airflow and volume 94010

119 services119 patients

Test to measure rate of airflow 94375

This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.

74 services72 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

55 services37 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.

47 services47 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

44 services41 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.

28 services27 patients

Test to examine how well the lungs exchange gases 94729

22 services22 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

20 services20 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

17 services14 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440082

Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County

Emergency services Birthing friendly

Henry County Medical Center

Acute Care Hospitals · Paris, TN

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440132

Location301 Tyson AvParis, TN 38242 · Henry County

Emergency services

Saint Thomas River Park Hospital

Acute Care Hospitals · Mcminnville, TN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440151

Location1559 Sparta StreetMcminnville, TN 37110 · Warren County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 32

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

5 suppliers46 claims90 services$1.76 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

3 suppliers11 claims13 services$1.47 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers23 claims23 services$100.05 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers21 claims59 services$34.58 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

8 suppliers19 claims113 services$21.83 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

2 suppliers12 claims72 services$14.58 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

10 suppliers28 claims28 services$62.72 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers29 claims29 services$20.03 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

11 suppliers46 claims46 services$17.70 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

13 suppliers52 claims307 services$2.61 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

5 suppliers12 claims12 services$6.87 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

11 suppliers18 claims18 services$12.14 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

13 suppliers144 claims149 services$17.31 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

3 suppliers14 claims16 services$50.46 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

8 suppliers105 claims105 services$884.62 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

4 suppliers13 claims13 services$84.09 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers42 claims42 services$6.35 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

2 suppliers11 claims11 services$30.77 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers22 claims22 services$36.72 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

22 suppliers589 claims600 services$87.22 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

15 suppliers227 claims232 services$33.63 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers26 claims1,506 services$4.39 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

8 suppliers73 claims4,806 services$6.50 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

17 suppliers80 claims19,546 services$0.03 avg. paid by Medicare

Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg J7614

DME-Drugs Administered Through DME · category DG006N

3 suppliers11 claims3,241 services$0.05 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

14 suppliers35 claims4,080 services$0.09 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

13 suppliers91 claims6,402 services$0.81 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

3 suppliers24 claims980 services$0.16 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers28 claims147,000 services$0.15 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers72 claims72 services$33.23 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

29 suppliers144 claims144 services$23.28 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 90 days Q0514

DME-Other DME · category DE000N

7 suppliers11 claims11 services$52.08 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.

CHARLES RYAN SWAFFORD CRNA

Nurse Anesthetist, Certified Registered

4230 HARDING PIKE, SUITE 435
NASHVILLE, TN 37205

Davidson County (615) 385-3704

JONATHAN KEITH ALLGOOD CRNA

Nurse Anesthetist, Certified Registered

4230 HARDING PIKE, SUITE 435
NASHVILLE, TN 37205

Davidson County (615) 385-3704

MRS. JENNIFER EKUA MUSEE PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

4230 HARDING PIKE, ST THOMAS MEDICAL PLAZA EAST, SUITE 707
NASHVILLE, TN 37205

Davidson County (615) 760-3990

GRACE MIKAN BENTON CRNA

Nurse Anesthetist, Certified Registered

4230 HARDING PIKE
NASHVILLE, TN 37205

Davidson County (615) 385-3704

MS. MELANIE DOWNES LAWLESS CRNA

Nurse Anesthetist, Certified Registered

4230 HARDING PIKE, SUITE 435
NASHVILLE, TN 37205

Davidson County (615) 385-3704

NICHOLE LYNN CLARK

Social Worker

4230 HARDING PIKE
NASHVILLE, TN 37205

Davidson County (615) 461-5821

DR. LING CHEN MD

Pathology (Anatomic Pathology & Clinical Pathology)

4230 HARDING PIKE
NASHVILLE, TN 37205

Davidson County (615) 298-4100

H DOUGLAS HOLLIDAY MD PLLC

Internal Medicine

4230 HARDING PIKE, SUITE 530
NASHVILLE, TN 37205

Davidson County (615) 222-1241

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 Peters's NPI number?

The NPI number for Mark Peters is 1386686137. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Mark Peters located?

Mark Peters practices at 4230 Harding Pike Suite 400, Nashville, TN 37205. The listed phone number is (615) 297-2700.

What is Mark Peters's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Mark Peters enrolled in Medicare?

Yes. Mark Peters 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 Peters accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Mark Peters 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 Peters affiliated with any hospitals?

According to CMS data, Mark Peters is affiliated with Ascension Saint Thomas Hospital, Henry County Medical Center and Saint Thomas River Park Hospital.

When was this NPI record last updated?

The NPPES record for Mark Peters was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.