DR. MARK BRUMMEL D.O.
NPI 1477619872
Family Medicine in Kingsport, TN

Q: What is Mark Brummel's NPI number?

The NPI number for Mark Brummel is 1477619872. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Mark Brummel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Brummel was last updated on January 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment

102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600(423) 245-9634 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2023, Nov 8, 2016 (2 updates tracked since 2016).

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About Dr. Mark Brummel D.o. NPPES

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

DR. MARK BRUMMEL D.O. (NPI 1477619872) is an individual family medicine provider in Kingsport, Tennessee, licensed in Tennessee (DO1970) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2004).

NPPES Registry Identity

NPI1477619872

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK BRUMMELCredential: D.O.

Location Address102 E RAVINE RDKingsport, TN 37660-3814

Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 433-6039 · Fax (423) 433-6060

Phone(423) 245-9600

Fax(423) 245-9634

Sole ProprietorNo

Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2004

Enumeration DateDecember 29, 2006

Last NPPES UpdateJanuary 16, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2024

✔ NPI 1477619872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · DO1970

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.

102 E RAVINE RD, Kingsport, TN 37660

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Other Identifiers 2

Medicaid1507939TN

Other3714470TN · Group Medicare Pin

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

Dr. Mark Brummel D.o. 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 ID7416056486

PECOS Enrollment IDI20080920000158

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.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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.

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.

CONSTANCE THETFORD HIXSON MD

Family Medicine