MARK F. YOUNG M.D.
NPI 1568466969
Internal Medicine - Gastroenterology in Johnson City, TN

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
310 N STATE OF FRANKLIN RD, STE 202, JOHNSON CITY, TN 37604(423) 929-7111(423) 929-9448 Get Directions Write a Review

NPPES record last updated: March 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark F. Young M.d. NPPES

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

MARK F. YOUNG M.D. (NPI 1568466969) is an individual gastroenterology provider in Johnson City, Tennessee, licensed in Tennessee (MD17797) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Sycamore Shoals Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1568466969
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMARK F. YOUNGCredential: M.D.
Location Address310 N STATE OF FRANKLIN RD, STE 202Johnson City, TN 37604-6063
Mailing Address310 N State Of Franklin Rd, Ste 202Johnson City, TN 37604-6063 · (423) 929-7111 · Fax (423) 929-9448
Fax(423) 929-9448
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 13, 2005
Last NPPES UpdateMarch 19, 2010
NPI 1568466969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in TN · MD17797
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
310 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Identifiers 2

Medicare UPINA99818
Medicare ID-Type Unspecified3034764TN

Accepted 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 F. Young 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 ID3971577214
PECOS Enrollment IDI20040823001331
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 16

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 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.
132 services102 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
111 services110 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.
101 services85 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
97 services97 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
92 services91 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
81 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Sycamore Shoals Hospital

Acute Care Hospitals · Elizabethton, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440018
Location1501 West Elk AvenueElizabethton, TN 37643 · Carter County
Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

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

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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…
13%186 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
86%138 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
62%193 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
97%231 patients4/55-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.

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.

Internal Medicine
310 N STATE OF FRANKLIN RD, STE 301A
JOHNSON CITY, TN 37604
Physician Assistant
310 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Surgery (Vascular Surgery)
310 N STATE OF FRANKLIN RD, SUITE 101B
JOHNSON CITY, TN 37604
Surgery (Vascular Surgery)
310 N STATE OF FRANKLIN RD, STE 101
JOHNSON CITY, TN 37604
Clinic/Center (Ambulatory Surgical)
310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604
Thoracic Surgery (Cardiothoracic Vascular Surgery)
310 N STATE OF FRANKLIN RD, SUITE 101
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604
Internal Medicine (Medical Oncology)
310 N STATE OF FRANKLIN RD, SUITE 401
JOHNSON CITY, TN 37604

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 Young's NPI number?

The NPI number for Mark Young is 1568466969. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Mark Young located?

Mark Young practices at 310 N State Of Franklin Rd Ste 202, Johnson City, TN 37604. The listed phone number is (423) 929-7111.

What is Mark Young's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Young enrolled in Medicare?

Yes. Mark Young 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 Young 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 3 other insurers list Mark Young 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 Young affiliated with any hospitals?

According to CMS data, Mark Young is affiliated with Sycamore Shoals Hospital, Greeneville Community Hospital, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Mark Young was last updated on March 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.