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DR. MARK ANTHONY ADAMS SR. M.D.
NPI 1578884581
Family Medicine in Corydon, IN

Active since June 15, 2010PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
313 FEDERAL DR NW, SUITE 200, CORYDON, IN 47112(812) 738-4155(812) 738-6104 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2020, Oct 1, 2015 (2 updates tracked since 2015).

About Dr. Mark Anthony Adams Sr. M.d. NPPES

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

DR. MARK ANTHONY ADAMS SR. M.D. (NPI 1578884581) is an individual family medicine provider in Corydon, Indiana, licensed in Indiana (01075329A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Louisville, and is a graduate of Southern Illinois University School Of Medicine (2010).

NPPES Registry Identity

NPI1578884581
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK ANTHONY ADAMS SR.Credential: M.D.
Location Address313 FEDERAL DR NW, SUITE 200Corydon, IN 47112-3070
Mailing Address313 Federal Dr Nw, Suite 200Corydon, IN 47112-3070 · (812) 738-4155 · Fax (812) 738-6104
Phone(812) 738-4155
Fax(812) 738-6104
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2010
Enumeration DateJune 15, 2010
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1578884581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in IN · 01075329A✔ Licensed in SC · 32802
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.
313 FEDERAL DR NW, Corydon, IN 47112
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Other Identifiers 3

Medicaid201290880IN
Medicaid328024SC
Other5689393SC · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter 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 Anthony Adams Sr. 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 ID6507014917
PECOS Enrollment IDI20220520001460
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 8

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.
221 services158 patients
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.
203 services127 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
119 services119 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
49 services19 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
29 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Louisville

Acute Care Hospitals · Louisville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180130
Location4000 Kresge WayLouisville, KY 40207 · Jefferson County
Emergency services Birthing friendly

Baptist Health Lagrange

Acute Care Hospitals · La Grange, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180138
Location1025 New Moody LaneLa Grange, KY 40031 · Oldham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47112 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims24 services$6.35 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$2.15 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$9.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$63.01 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier14 claims14 services$20.78 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 12

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

CHEST MEDICINE ASSOCIATES PSC
Internal Medicine (Pulmonary Disease)
313 FEDERAL DR NW, SUITE 10
CORYDON, IN 47112
Harrison County (502) 459-9127
DR. REGGIE DUANE LYELL M.D.
Family Medicine
313 FEDERAL DR NW, SUITE 200
CORYDON, IN 47112
Harrison County (812) 738-4155
CHEST MEDICINE ASSOCIATES P.S.C
Internal Medicine (Sleep Medicine)
313 FEDERAL DR NW, SUITE 40
CORYDON, IN 47112
Harrison County (502) 459-9127
FIRST UROLOGY, PSC
Urology
313 FEDERAL DR NW
CORYDON, IN 47112
Harrison County (812) 282-3899
FMMG HARRISON FAMILY MEDICINE LLC
Family Medicine
313 FEDERAL DR NW, SUITE 200
CORYDON, IN 47112
Harrison County (812) 738-4155
MARIA LEE GLASS MD
Family Medicine
313 FEDERAL DR NW, SUITE 200
CORYDON, IN 47112
Harrison County (812) 738-4155
GENA E. LYELL NP
Nurse Practitioner (Family)
313 FEDERAL DR NW, SUITE 200
CORYDON, IN 47112
Harrison County (812) 738-4155
DR. JOHN REINOEHL M.D.
Family Medicine
313 FEDERAL DR NW, SUITE 200
CORYDON, IN 47112
Harrison County (812) 738-4155

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 Adams's NPI number?

The NPI number for Mark Adams is 1578884581. It was assigned to this individual provider in the NPPES registry on June 15, 2010.

Where is Mark Adams located?

Mark Adams practices at 313 Federal Dr NW Suite 200, Corydon, IN 47112. The listed phone number is (812) 738-4155.

What is Mark Adams's specialty?

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

Is Mark Adams enrolled in Medicare?

Yes. Mark Adams 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 Adams accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Mark Adams 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 Adams affiliated with any hospitals?

According to CMS data, Mark Adams is affiliated with Baptist Health Louisville and Baptist Health Lagrange.

When was this NPI record last updated?

The NPPES record for Mark Adams was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.