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DR. MARK DAVID PINKERTON MD
NPI 1437138328
Family Medicine in Cedarville, OH

Active since January 10, 2006PECOS Enrolled
251 N MAIN ST, CEDARVILLE, OH 45314(937) 766-7417(937) 766-7865 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark David Pinkerton Md NPPES

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

DR. MARK DAVID PINKERTON MD (NPI 1437138328) is an individual family medicine provider in Cedarville, Ohio, licensed in Ohio (35063921) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437138328
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK DAVID PINKERTONCredential: MD
Location Address251 N MAIN STCedarville, OH 45314-8501
Mailing Address251 N Main StCedarville, OH 45314-8501 · (937) 766-7417 · Fax (937) 766-7865
Phone(937) 766-7417
Fax(937) 766-7865
Sole ProprietorNo
Enumeration DateJanuary 10, 2006
Last NPPES UpdateDecember 5, 2016
✔ NPI 1437138328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35063921✔ Licensed in CO · 33488
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.
251 N MAIN ST, Cedarville, OH 45314
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Other Identifiers 4

Medicare UPINF83947
Medicaid01334887CO
Medicaid3144912OH
Medicare PIN4320081OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark David Pinkerton Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Pinkerton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cg Medical Associates Inc
55 mi
Urgent Care
7300 BEECHMONT AVE
Cincinnati, OH 45230
  • Reassigned Medicare billing, Ohio enrollment
  • 329 clinicians in this Medicare group
NPI 1982903951 (513) 232-9100
American Current Care Of Ohio PA Co
862 mi
Urgent Care
5080 SPECTRUM DR, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Ohio enrollment
  • 35 clinicians in this Medicare group
NPI 1023292943 (972) 720-7772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45314 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

MR. EVAN V. HELLWIG PHD, ATC, PT
Physical Therapist
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (937) 766-7691
MS. BETHANY LANG
Student in an Organized Health Care Education/Training Program
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (937) 766-7700
AMANDA GRACE MERRELL ATC, LAT
Specialist/Technologist (Athletic Trainer)
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (513) 377-5408
MRS. BEVERLY JOAN ROBEY R.N. B.C.
Registered Nurse (College Health)
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (937) 766-7862
KAITLYN TYMS ATC. LAT
Specialist/Technologist (Athletic Trainer)
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (908) 399-2802
ROBERT POWELL ANDREWS II
Student in an Organized Health Care Education/Training Program
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (302) 387-7047
KARA MACNAMARA MAT, ATC, AT
Specialist/Technologist (Athletic Trainer)
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (815) 677-3662
CEDARVILLE UNIVERSITY
Clinic/Center (Student Health)
251 N MAIN ST
CEDARVILLE, OH 45314
Greene County (937) 766-7862

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 Pinkerton's NPI number?

The NPI number for Mark Pinkerton is 1437138328. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Mark Pinkerton located?

Mark Pinkerton practices at 251 N Main St, Cedarville, OH 45314. The listed phone number is (937) 766-7417.

What is Mark Pinkerton's specialty?

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

Is Mark Pinkerton enrolled in Medicare?

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

Which organizations bill Medicare for Mark Pinkerton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Pinkerton reassigns Medicare benefits to 2 organizations: Cg Medical Associates Inc (Cincinnati, OH) and American Current Care Of Ohio PA Co (Addison, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Pinkerton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Pinkerton accept?

Health plans from CareSource, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Mark Pinkerton 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.

When was this NPI record last updated?

The NPPES record for Mark Pinkerton was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.