MARK C HOUSTON M.D.
NPI 1790723013
Internal Medicine in Nashville, TN

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
4230 HARDING RD, SUITE 400, NASHVILLE, TN 37205(615) 297-2700(615) 269-4584 Get Directions Write a Review

NPPES record last updated: May 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark C Houston M.d. NPPES

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

MARK C HOUSTON M.D. (NPI 1790723013) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (10516) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1974).

NPPES Registry Identity

NPI1790723013
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARK C HOUSTONCredential: M.D.
Location Address4230 HARDING RD, SUITE 400Nashville, TN 37205-2013
Mailing Address104 Woodmont Blvd, Suite Ll50Nashville, TN 37205-2245 · (615) 386-2300 · Fax (615) 386-2399
Fax(615) 269-4584
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1974
Enumeration DateJune 2, 2006
Last NPPES UpdateMay 12, 2015
NPI 1790723013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TN · 10516
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Hypertension SpecialistTaxonomy 207RH0005X · License 10516 (TN)
4230 HARDING RD, Nashville, TN 37205

Other Identifiers 12

Other110219098TN · Medicare Rr
Medicare PIN3165821TN
Other3164320TN · Blue Cross Of Tn
Medicaid1507589TN
Other10075140TN · Amerigroup
Other633837TN · Uso Mco
Medicare UPINB03128
Medicaid64746076KY
Medicare PIN103I119209TN
Other2576056TN · Cigna
Other4067698TN · Aetna
Other0440440TN · United Health Care

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 C Houston 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 ID3274616883
PECOS Enrollment IDI20100304000756
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 17

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
1,102 services529 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
476 services437 patients
Analysis of central arterial pressure with review by physician 93050
This procedure involves measuring the pressure in your central arteries, typically near your heart. It's crucial for assessing your cardiovascular health. A physician reviews the results to ensure proper diagnosis and treatment planning.
401 services399 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
354 services348 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.
289 services234 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
137 services135 patients

Hospital Affiliations CMS Care Compare 3

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37205 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
26 suppliers59 claims176 services$5.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers19 claims29 services$1.16 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 20

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

Anesthesiology
4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205
Anesthesiology (Critical Care Medicine)
4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING RD, STE. 530 HEART INSTITUTE
NASHVILLE, TN 37205
Internal Medicine (Pulmonary Disease)
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205
Nurse Anesthetist, Certified Registered
4230 HARDING RD, SUITE 435
NASHVILLE, TN 37205
Internal Medicine
4230 HARDING RD, SUITE 400
NASHVILLE, TN 37205

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 Houston's NPI number?

The NPI number for Mark Houston is 1790723013. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Mark Houston located?

Mark Houston practices at 4230 Harding Rd Suite 400, Nashville, TN 37205. The listed phone number is (615) 297-2700.

What is Mark Houston's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mark Houston enrolled in Medicare?

Yes. Mark Houston 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 Houston accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Mark Houston 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 Houston affiliated with any hospitals?

According to CMS data, Mark Houston is affiliated with Vanderbilt University Medical Center, Ascension Saint Thomas Hospital and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Houston was last updated on May 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.