MARK EDWARD HATFIELD M.D.
NPI 1619046158
Internal Medicine - Cardiovascular Disease in Columbus, IN

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
2325 18TH ST STE 130, COLUMBUS, IN 47201(812) 379-2020(812) 378-8267 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 6, 2024, Oct 28, 2022, Oct 29, 2020 and 1 more (4 updates tracked since 2017).

About Mark Edward Hatfield M.d. NPPES

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

MARK EDWARD HATFIELD M.D. (NPI 1619046158) is an individual cardiovascular disease provider in Columbus, Indiana, licensed in Indiana (01036919A) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Schneck Medical Center, and is a graduate of Indiana University School Of Medicine (1986).

NPPES Registry Identity

NPI1619046158
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMARK EDWARD HATFIELDCredential: M.D.
Location Address2325 18TH ST STE 130Columbus, IN 47201-5387
Mailing AddressPo Box 775383Chicago, IL 60677-5383 · (812) 376-5315
Fax(812) 378-8267
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1986
Enumeration DateNovember 7, 2006
Last NPPES UpdateSeptember 6, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
NPI 1619046158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IN · 01036919A
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2325 18TH ST STE 130, Columbus, IN 47201

Other Identifiers 6

Other64879604KY · Kentucky Medicaid
Medicaid100343100IN
Other011275PIN · Siho
Other000000984928IN · Anthem Pin
Other000000088174IN · Anthem Bcbs
Other060020869Palmetta Gba Railroad Mc

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 Edward Hatfield 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 ID1355321753
PECOS Enrollment IDI20040726000359
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 22

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
428 services424 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.
281 services218 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.
207 services168 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
161 services141 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
89 services89 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.
50 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Schneck Medical Center

Acute Care Hospitals · Seymour, IN
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150065
Location411 W Tipton StSeymour, IN 47274 · Jackson County
Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Ascension St Vincent Jennings

Critical Access Hospitals · North Vernon, IN
OwnershipVoluntary non-profit - Church
CMS Certification Number151303
Location301 Henry StNorth Vernon, IN 47265 · Jennings County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Cardiovascular Disease)
2325 18TH ST STE 130
COLUMBUS, IN 47201
Nurse Practitioner (Gerontology)
2325 18TH ST STE 130
COLUMBUS, IN 47201
Internal Medicine (Cardiovascular Disease)
2325 18TH ST STE 130
COLUMBUS, IN 47201
Nurse Practitioner (Family)
2325 18TH ST STE 130
COLUMBUS, IN 47201
Internal Medicine (Interventional Cardiology)
2325 18TH ST STE 130
COLUMBUS, IN 47201
Nurse Practitioner (Family)
2325 18TH ST STE 130
COLUMBUS, IN 47201
Internal Medicine (Cardiovascular Disease)
2325 18TH ST STE 130
COLUMBUS, IN 47201
Nurse Practitioner (Family)
2325 18TH ST STE 130
COLUMBUS, IN 47201

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 Hatfield's NPI number?

The NPI number for Mark Hatfield is 1619046158. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Mark Hatfield located?

Mark Hatfield practices at 2325 18th St Ste 130, Columbus, IN 47201. The listed phone number is (812) 379-2020.

What is Mark Hatfield's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Mark Hatfield enrolled in Medicare?

Yes. Mark Hatfield 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 Hatfield accept?

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

According to CMS data, Mark Hatfield is affiliated with Schneck Medical Center, Norton-King's Daughters' Health, Columbus Regional Hospital and Ascension St Vincent Jennings.

When was this NPI record last updated?

The NPPES record for Mark Hatfield was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.