DR. MARK H MIDDLETON MD
NPI 1710977202
Surgery in Athens, GA
About Dr. Mark H Middleton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK H MIDDLETON MD (NPI 1710977202) is an individual surgery provider in Athens, Georgia, licensed in Georgia (55154) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Health System - St Francis Campus, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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 H Middleton Md 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Health System - St Francis Campus
Acute Care Hospitals · Topeka, KSNorthern Light Eastern Maine Medical Center
Acute Care Hospitals · Bangor, MEChi Health St. Francis
Acute Care Hospitals · Grand Island, NEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Middleton's NPI number?
The NPI number for Mark Middleton is 1710977202. It was assigned to this individual provider in the NPPES registry on October 26, 2005.
Where is Mark Middleton located?
Mark Middleton practices at 1199 Prince Ave, Athens, GA 30606. The listed phone number is (706) 475-5076.
What is Mark Middleton's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mark Middleton enrolled in Medicare?
Yes. Mark Middleton 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 Middleton accept?
Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company and 1 other insurer list Mark Middleton 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 Middleton affiliated with any hospitals?
According to CMS data, Mark Middleton is affiliated with University Of Kansas Health System - St Francis Campus, Northern Light Eastern Maine Medical Center and Chi Health St. Francis.
When was this NPI record last updated?
The NPPES record for Mark Middleton was last updated on February 17, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
