DR. MARK JOSEPH DALLE-AVE M.D.
NPI 1801892054
Family Medicine in Rogersville, TN

Q: What is Mark Dalle-ave's NPI number?

The NPI number for Mark Dalle-ave is 1801892054. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Q: What is Mark Dalle-ave's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Dalle-ave was last updated on February 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment

4307 HIGHWAY 66 S, ROGERSVILLE, TN 37857(423) 921-1600(423) 921-1677 Get Directions Write a Review

NPPES record last updated: February 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mark Joseph Dalle-ave M.d. NPPES

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

DR. MARK JOSEPH DALLE-AVE M.D. (NPI 1801892054) is an individual family medicine provider in Rogersville, Tennessee, licensed in Tennessee (25875) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1801892054

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK JOSEPH DALLE-AVECredential: M.D.

Location Address4307 HIGHWAY 66 SRogersville, TN 37857-3155

Mailing AddressPo Box 850Rogersville, TN 37857-0850 · (423) 272-5202 · Fax (423) 272-4696

Phone(423) 921-1600

Fax(423) 921-1677

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJune 22, 2005

Last NPPES UpdateFebruary 28, 2014

✔ NPI 1801892054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TN · 25875

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4307 HIGHWAY 66 S, Rogersville, TN 37857

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Other Identifiers 9

Medicare PIN3716673

Medicare PINP00034263

Other4057107TN · Bcbst

Medicare UPINF89268

Medicare ID-Type Unspecified3085705

Medicare PIN3703865

Medicare PIN30857031

Medicare PIN3085705

Medicaid3085703TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.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 Joseph Dalle-ave 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 ID5092877415

PECOS Enrollment IDI20081218000718

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

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

18 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Hawkins County Memorial Hospital

Acute Care Hospitals · Rogersville, TN

OwnershipVoluntary non-profit - Private

CMS Certification Number440032

Location851 Locust StreetRogersville, TN 37857 · Hawkins County

Emergency services

Indian Path Community Hospital

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440176

Location2000 Brookside DrKingsport, TN 37660 · Sullivan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37857 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

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 4

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

5 suppliers24 claims60 services$5.94 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers15 claims16 services$1.06 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$86.17 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier11 claims330 services$0.01 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.

GERALDINE D LIVERMORE LCSW

Social Worker (Clinical)

4307 HIGHWAY 66 S, SUITE 2
ROGERSVILLE, TN 37857

Hawkins County (423) 921-1600

NATALIE JEWEL PRICE FNP

Nurse Practitioner (Family)