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MS. CYNTHIA K MARSH NP
NPI 1407363989
Internal Medicine - Nephrology in Johnson City, TN

Active since January 05, 2018PECOS EnrolledAccepts Medicare Assignment
81.48/100
CMS Quality Rating
107 WOODLAWN DR STE 200, JOHNSON CITY, TN 37604(423) 929-7158(423) 928-9625 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Cynthia K Marsh Np NPPES

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

MS. CYNTHIA K MARSH NP (NPI 1407363989) is an individual nephrology provider in Johnson City, Tennessee, licensed in Tennessee (23627) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1407363989
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMS. CYNTHIA K MARSHCredential: NP
Location Address107 WOODLAWN DR STE 200Johnson City, TN 37604-6287
Mailing Address107 Woodlawn Dr Ste 200Johnson City, TN 37604-6287 · (423) 929-7158 · Fax (423) 928-9625
Phone(423) 929-7158
Fax(423) 928-9625
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 5, 2018
✔ NPI 1407363989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in TN · 23627
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
107 WOODLAWN DR STE 200, Johnson City, TN 37604
Open in Google Maps ↗

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

Ms. Cynthia K Marsh Np 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 ID5991052979
PECOS Enrollment IDI20180723000510
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 4

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.

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.
46 services30 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
43 services31 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
24 services20 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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.

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.

81.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.38
Promoting Interoperability100
Improvement Activities40
Cost63.22

Other Providers at the Same Location NPPES 2

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

MUHAMMAD OWAIS MALIK MD
Internal Medicine (Nephrology)
107 WOODLAWN DR STE 200
JOHNSON CITY, TN 37604
Washington County (423) 929-7158
SAMARDIA MISSICK MD
Internal Medicine (Nephrology)
107 WOODLAWN DR STE 200
JOHNSON CITY, TN 37604
Washington County (423) 929-7158

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 Cynthia Marsh's NPI number?

The NPI number for Cynthia Marsh is 1407363989. It was assigned to this individual provider in the NPPES registry on January 5, 2018.

Where is Cynthia Marsh located?

Cynthia Marsh practices at 107 Woodlawn Dr Ste 200, Johnson City, TN 37604. The listed phone number is (423) 929-7158.

What is Cynthia Marsh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Cynthia Marsh enrolled in Medicare?

Yes. Cynthia Marsh 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 Cynthia Marsh 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 2 other insurers list Cynthia Marsh 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 Cynthia Marsh affiliated with any hospitals?

According to CMS data, Cynthia Marsh is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Marsh was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.