MARK JAMES HOOD JR. M.D.
NPI 1699153148
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Indianapolis, IN

Active since May 15, 2015PECOS EnrolledAccepts Medicare Assignment
97.54/100
CMS Quality Rating
8040 CLEARVISTA PKWY STE 500, INDIANAPOLIS, IN 46256(317) 355-8326 Get Directions Write a Review

NPPES record last updated: August 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Aug 15, 2023, Jul 14, 2022 and 3 more (6 updates tracked since 2016).

About Mark James Hood Jr. M.d. NPPES

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

MARK JAMES HOOD JR. M.D. (NPI 1699153148) is an individual adult reconstructive orthopaedic surgery provider in Indianapolis, Indiana, licensed in Indiana (01091269A) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and maintains a secondary practice location in Spartanburg.

NPPES Registry Identity

NPI1699153148
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameMARK JAMES HOOD JR.Credential: M.D.
Location Address8040 CLEARVISTA PKWY STE 500Indianapolis, IN 46256-5604
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2015
Enumeration DateMay 15, 2015
Last NPPES UpdateAugust 25, 20236 updates tracked since enumeration
NPPES CertifiedAugust 25, 2023
NPI 1699153148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License Licensed in IN · 01091269A
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 01091269A (IN), 2020-00635 (NC), 85568 (SC)
8040 CLEARVISTA PKWY STE 500, Indianapolis, IN 46256

Secondary Practice Location 1

Location 11330 Boiling Springs Rd Ste 1600Spartanburg, SC 29303-4219 · Phone (864) 582-6396 · Fax (864) 582-1608

Other Identifiers 1

Medicaid300079584IN

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 James Hood Jr. 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 ID6103139670
PECOS Enrollment IDI20230818001750
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 21

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
624 services45 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
179 services119 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.
164 services132 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.
161 services143 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
102 services102 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
93 services67 patients

Hospital Affiliations CMS Care Compare 4

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150074
Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County
Emergency services Birthing friendly

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Community Hospital South, Inc.

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150128
Location1402 E County Line Rd SIndianapolis, IN 46227 · Marion County
Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150169
Location7150 Clearvista DrIndianapolis, IN 46256 · Marion 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.

97.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.21
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
0%401 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%288 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
70%266 patients4/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
56%1,842 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
34%541 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%972 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%933 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
11%1,654 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 28% · 900 patients
Patients screened: 29% · 900 patients
74%31 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 543 patients
Patients totalRate: 4% · 543 patients
4%543 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers19 claims19 services$45.85 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 2

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

Orthopaedic Surgery (Sports Medicine)
8040 CLEARVISTA PKWY STE 500
INDIANAPOLIS, IN 46256
Physician Assistant
8040 CLEARVISTA PKWY STE 500
INDIANAPOLIS, IN 46256

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 Hood's NPI number?

The NPI number for Mark Hood is 1699153148. It was assigned to this individual provider in the NPPES registry on May 15, 2015.

Where is Mark Hood located?

Mark Hood practices at 8040 Clearvista Pkwy Ste 500, Indianapolis, IN 46256. The listed phone number is (317) 355-8326.

What is Mark Hood's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Mark Hood enrolled in Medicare?

Yes. Mark Hood 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 Hood accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and First Choice Next and 1 other insurer list Mark Hood 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 Hood affiliated with any hospitals?

According to CMS data, Mark Hood is affiliated with Community Hospital East, Community Hospital Of Anderson And Madison County, Community Hospital South, Inc. and Community Hospital North.

When was this NPI record last updated?

The NPPES record for Mark Hood was last updated on August 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.