MARK D KRISKOVICH M.D.
NPI 1619086626
Specialist in Cookeville, TN

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
94.87/100
CMS Quality Rating
100 W 4TH ST, SUITE 200, COOKEVILLE, TN 38501(931) 528-1575(931) 526-2962 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark D Kriskovich M.d. NPPES

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

MARK D KRISKOVICH M.D. (NPI 1619086626) is an individual specialist in Cookeville, Tennessee, licensed in Tennessee (MD036079) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and is a graduate of Baylor College Of Medicine (1993).

NPPES Registry Identity

NPI1619086626
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMARK D KRISKOVICHCredential: M.D.
Location Address100 W 4TH ST, SUITE 200Cookeville, TN 38501-2448
Mailing Address100 W 4th St, Suite 200Cookeville, TN 38501-2448 · (931) 528-1575 · Fax (931) 526-2962
Fax(931) 526-2962
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 1993
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619086626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in TN · MD036079
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 W 4TH ST, Cookeville, TN 38501

Other Identifiers 3

Medicare UPINH63107TN
Medicare ID-Type Unspecified3872688TN
Medicaid3872688TN

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 D Kriskovich 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 ID3577635184
PECOS Enrollment IDI20120214000281
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 14

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.
218 services151 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
140 services105 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.
130 services105 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
124 services101 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
104 services104 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
97 services80 patients

Hospital Affiliations CMS Care Compare 2

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440009
Location421 S Main StCrossville, TN 38555 · Cumberland County
Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440059
Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County
Emergency services Birthing friendly

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.

94.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.68
Promoting Interoperability89
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
100%42 patients
Advance Care Plan
99%561 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,701 patients5/55-star benchmark: 100%
e-Prescribing
100%324 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,022 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 83% · 397 patients
Patients screened: 83% · 397 patients
100%40 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
86%666 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%85 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 566 patients
Patients totalRate: 0% · 566 patients
0%566 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.

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.

Anesthesiology
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Nurse Anesthetist, Certified Registered
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Nurse Anesthetist, Certified Registered
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Family Medicine (Sleep Medicine)
100 W 4TH ST
COOKEVILLE, TN 38501
Nurse Anesthetist, Certified Registered
100 W 4TH ST, SUITE 310
COOKEVILLE, TN 38501
Psychologist (Counseling)
100 W 4TH ST, SUITE 300
COOKEVILLE, TN 38501
Specialist
100 W 4TH ST, SUITE 200
COOKEVILLE, TN 38501
Specialist
100 W 4TH ST, SUITE 200
COOKEVILLE, TN 38501

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 Kriskovich's NPI number?

The NPI number for Mark Kriskovich is 1619086626. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Mark Kriskovich located?

Mark Kriskovich practices at 100 W 4th St Suite 200, Cookeville, TN 38501. The listed phone number is (931) 528-1575.

What is Mark Kriskovich's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Kriskovich enrolled in Medicare?

Yes. Mark Kriskovich 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 Kriskovich accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Mark Kriskovich 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 Kriskovich affiliated with any hospitals?

According to CMS data, Mark Kriskovich is affiliated with Cumberland Medical Center and Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Kriskovich was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.