MARK JENKINS M.D.
NPI 1558364810
Family Medicine in Church Hill, TN

Q: What is Mark Jenkins's NPI number?

The NPI number for Mark Jenkins is 1558364810. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Q: What is Mark Jenkins'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 Jenkins was last updated on March 17, 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.

Active since May 31, 2005PECOS Enrolled

701 W MAIN BLVD, CHURCH HILL, TN 37642(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Dec 5, 2017, Feb 10, 2017 (3 updates tracked since 2017).

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About Mark Jenkins M.d. NPPES

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

MARK JENKINS M.D. (NPI 1558364810) is an individual family medicine provider in Church Hill, Tennessee, licensed in Tennessee (21019) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kingsport.

NPPES Registry Identity

NPI1558364810

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK JENKINSCredential: M.D.

Location Address701 W MAIN BLVDChurch Hill, TN 37642-3915

Mailing AddressPo Box 4018Johnson City, TN 37602-4018 · (423) 282-1480 · Fax (423) 928-1353

Phone(423) 282-1480

Fax(423) 928-1353

Sole ProprietorNo

Enumeration DateMay 31, 2005

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1558364810 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 · 21019

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.

701 W MAIN BLVD, Church Hill, TN 37642

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Secondary Practice Location 1

Location 12204 Pavilion Dr, Suite 310Kingsport, TN 37660-4657 · Phone (423) 224-3900 · Fax (423) 224-3901

Other Identifiers 4

Medicaid1558364810VA

Medicaid5610222VA

Medicaid3052551TN

OtherP01081201TN · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Jenkins M.d. 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 Reassignment

Medicare enrollment records show Mark Jenkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Physician Services PC

91 mi

Hospitalist

990 OAK RIDGE TPKE
Oak Ridge, TN 37830

Reassigned Medicare billing, Tennessee enrollment
1,085 clinicians in this Medicare group

NPI 1083835441 (865) 481-1000

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 37642 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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%91 patients5/55-star benchmark: 100%

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

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

Dynamic adjustable knee extension / flexion device, includes soft interface material E1810

DME-Other DME · category DE000N

1 supplier11 claims11 services$83.73 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 5

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

CHURCH HILL TN OPCO LLC

Skilled Nursing Facility