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 a secondary practice location in Roswell.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
9Medicare enrollment records show Mark Middleton reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 410 clinicians in this Medicare group
Calhoun, GA 30701
- Reassigned Medicare billing, Georgia enrollment
- 384 clinicians in this Medicare group
Munford, AL 36268
- Reassigned Medicare billing, Alabama enrollment
- 430 clinicians in this Medicare group
Mobile, AL 36604
- Reassigned Medicare billing, Alabama enrollment
- 210 clinicians in this Medicare group
Lincoln, NE 68510
- Reassigned Medicare billing, Nebraska enrollment
- 525 clinicians in this Medicare group
Norfolk, NE 68701
- Reassigned Medicare billing, Nebraska enrollment
- 252 clinicians in this Medicare group
Dover Foxcroft, ME 04426
- Reassigned Medicare billing, Maine enrollment
- 146 clinicians in this Medicare group
Bangor, ME 04401
- Reassigned Medicare billing, Maine enrollment
- 788 clinicians in this Medicare group
Wray, CO 80758
- Reassigned Medicare billing, Colorado enrollment
- 324 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organizations bill Medicare for Mark Middleton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Middleton reassigns Medicare benefits to 9 organizations: Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA), Adventist Health System Georgia Inc (Calhoun, GA), Baptist Health Centers LLC (Munford, AL), Imc-Diagnostic And Medical Clinic LLC (Mobile, AL), Chi Health Clinic Specialty, LLC (Lincoln, NE) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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, Oscar Insurance Company and Taro Health 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 October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.
# Dr. Mark H Middleton, MD · NPI 1710977202
Surgery physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since October 26, 2005.
## Identity
- **NPI:** 1710977202 (Entity type: Individual)
- **Enumerated:** October 26, 2005
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 55154 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1199 PRINCE AVE, Athens, GA 30606-2797
- **Phone:** (706) 475-5076
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Piedmont Athens Hospitalist Physicians LLC (NPI 1578079000, Atlanta, GA); Adventist Health System Georgia Inc (NPI 1699791343, Calhoun, GA); Baptist Health Centers LLC (NPI 1427012566, Munford, AL); Imc-Diagnostic And Medical Clinic LLC (NPI 1447201066, Mobile, AL); Chi Health Clinic Specialty, LLC (NPI 1285138065, Lincoln, NE); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Alabama School Of Medicine, class of 1996
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710977202) · Data from the CMS NPPES public registry.