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DR. MARK AUSTIN DO
NPI 1780754127
Preventive Medicine - Occupational Medicine in Herrin, IL

Active since November 09, 2006PECOS Enrolled
63.63/100
CMS Quality Rating
500 LINCOLN DR STE D, HERRIN, IL 62948(618) 457-5200(618) 529-0568 Get Directions Write a Review

NPPES record last updated: July 14, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Mark Austin Do NPPES

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

DR. MARK AUSTIN DO (NPI 1780754127) is an individual occupational medicine provider in Herrin, Illinois, licensed in Illinois (036079878) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780754127
Entity TypeIndividualMale
Primary Taxonomy2083X0100X
Provider Legal NameDR. MARK AUSTINCredential: DO
Location Address500 LINCOLN DR STE DHerrin, IL 62948-6355
Mailing AddressPo Box 1105Indianapolis, IN 46206-1105 · (618) 457-5200 · Fax (618) 529-0568
Phone(618) 457-5200
Fax(618) 529-0568
Sole ProprietorNo
Enumeration DateNovember 9, 2006
Last NPPES UpdateJuly 14, 2011
✔ NPI 1780754127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in IL · 036079878
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
500 LINCOLN DR STE D, Herrin, IL 62948
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Other Identifiers 2

Medicare OSCAR/certification214881IL
Medicare UPINE64737

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Austin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Austin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Hospital Perry
34 mi
Critical Access
434 N WEST ST
Perryville, MO 63775
  • Reassigned Medicare billing, Missouri enrollment
  • 192 clinicians in this Medicare group
NPI 1063117158 (417) 820-8439
Southeast Missouri Hospital Physicians, LLC
41 mi
Family Medicine
1701 LACEY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 470 clinicians in this Medicare group
NPI 1558311522 (573) 331-6880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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.

63.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality20.19
Promoting Interoperability100
Improvement Activities40
Cost58.59

Other Providers at the Same Location NPPES

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

SOUTHERN ILLINOIS HOSPITAL SERVICES
Clinical Medical Laboratory
500 LINCOLN DR STE D
HERRIN, IL 62948
Williamson County (618) 997-5652

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 Austin's NPI number?

The NPI number for Mark Austin is 1780754127. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Mark Austin located?

Mark Austin practices at 500 Lincoln Dr Ste D, Herrin, IL 62948. The listed phone number is (618) 457-5200.

What is Mark Austin's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Mark Austin enrolled in Medicare?

Yes. Mark Austin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Austin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Austin reassigns Medicare benefits to 2 organizations: Mercy Hospital Perry (Perryville, MO) and Southeast Missouri Hospital Physicians, LLC (Cape Girardeau, MO). 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 Austin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Austin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Mark Austin 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.

When was this NPI record last updated?

The NPPES record for Mark Austin was last updated on July 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.