DR. MARK EVAN DEMUTH D.O.
NPI 1619031192
Family Medicine in Clarkson, KY

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
619 W MAIN ST, CLARKSON, KY 42726(186) 665-3823 Get Directions Write a Review

NPPES record last updated: March 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Evan Demuth D.o. NPPES

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

DR. MARK EVAN DEMUTH D.O. (NPI 1619031192) is an individual family medicine provider in Clarkson, Kentucky, licensed in Kentucky (03097) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Mid West Medical College (2001).

NPPES Registry Identity

NPI1619031192
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK EVAN DEMUTHCredential: D.O.
Location Address619 W MAIN STClarkson, KY 42726-7044
Mailing Address1342 Amandajo DrElizabethtown, KY 42701-4629 · (270) 307-1114
Sole ProprietorNo
Medical School CMSMid West Medical CollegeGraduated 2001
Enumeration DateDecember 20, 2006
Last NPPES UpdateMarch 9, 2009
NPI 1619031192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in KY · 03097 Licensed in IL · 036110355
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.

619 W MAIN ST, Clarkson, KY 42726

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

Dr. Mark Evan Demuth 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 ID7618035411
PECOS Enrollment IDI20081023000259
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 7

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.
114 services113 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
43 services43 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.
41 services41 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
28 services28 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
25 services25 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.
19 services19 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 Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

Owensboro Health Twin Lakes Medical Center

Acute Care Hospitals · Leitchfield, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180070
Location910 Wallace AvenueLeitchfield, KY 42754 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42726 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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

Other Providers at the Same Location NPPES 3

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

Clinic/Center (VA)
619 W MAIN ST
CLARKSON, KY 42726
Pharmacist (Ambulatory Care)
619 W MAIN ST
CLARKSON, KY 42726
Nurse Practitioner (Psychiatric/Mental Health)
619 W MAIN ST
CLARKSON, KY 42726

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 Demuth's NPI number?

The NPI number for Mark Demuth is 1619031192. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Mark Demuth located?

Mark Demuth practices at 619 W Main St, Clarkson, KY 42726. The listed phone number is (186) 665-3823.

What is Mark Demuth's specialty?

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

Is Mark Demuth enrolled in Medicare?

Yes. Mark Demuth 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 Demuth accept?

Health plans from CareSource list Mark Demuth 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 Demuth affiliated with any hospitals?

According to CMS data, Mark Demuth is affiliated with Baptist Health Hardin and Owensboro Health Twin Lakes Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Demuth was last updated on March 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.