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DR. MARY PAT FRANCISCO MD
NPI 1801899521
Pediatrics - Pediatric Gastroenterology in Kingsport, TN

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
105 W STONE DR, STE 2A, KINGSPORT, TN 37660(423) 224-3375(423) 378-5940 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Mary Pat Francisco Md NPPES

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

DR. MARY PAT FRANCISCO MD (NPI 1801899521) is an individual pediatric gastroenterology provider in Kingsport, Tennessee, licensed in Tennessee (MD 28096) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (1988).

NPPES Registry Identity

NPI1801899521
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. MARY PAT FRANCISCOCredential: MD
Location Address105 W STONE DR, STE 2AKingsport, TN 37660-3256
Mailing AddressPo Box 9Kingsport, TN 37662-0009 · (423) 857-2066 · Fax (423) 857-2070
Phone(423) 224-3375
Fax(423) 378-5940
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1988
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 16, 2009
✔ NPI 1801899521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TN · MD 28096
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
105 W STONE DR, Kingsport, TN 37660
Open in Google Maps ↗

Other Identifiers 8

Medicare UPINF26026
Medicaid64110612KY
Medicare UPIN103I086169TN
Medicaid3803956TN
Medicaid6715184VA
Medicare PIN0281780003
Medicare ID-Type Unspecified3803959TN
Medicare PIN0281780001

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Dr. Mary Pat Francisco 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.

PECOS PAC ID4587798046
PECOS Enrollment IDI20100819000258
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 Mary Francisco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holston Medical Group PC
0.2 mi
Medical Laboratory
105 W STONE DR, 1H
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 250 clinicians in this Medicare group
NPI 1356405120 (423) 392-6200
Brookwell Health LLC
50 mi
Nurse Practitioner
2825 W ANDREW JOHNSON HWY
Morristown, TN 37814
  • Reassigned Medicare billing, Tennessee enrollment
  • 23 clinicians in this Medicare group
NPI 1366072159 (423) 307-5757

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 37660 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.

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.

DR. DALLAS SHONE MD
Internal Medicine (Gastroenterology)
105 W STONE DR, STE 4C
KINGSPORT, TN 37660
Sullivan County (423) 578-1595
DR. EDWARD MONTY STIRMAN M.D.
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 323-6200
JERRY MILLER MD
Family Medicine
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 392-6200
DR. CHERYL STANSKI MD
Surgery
105 W STONE DR, STE 4A
KINGSPORT, TN 37660
Sullivan County (423) 392-6265
DR. SCOTT FOWLER M.D.
Obstetrics & Gynecology
105 W STONE DR, STE 2B
KINGSPORT, TN 37660
Sullivan County (423) 247-7500
HOLSTON MEDICAL GROUP, PC
Durable Medical Equipment & Medical Supplies
105 W STONE DR, STE 3A
KINGSPORT, TN 37660
Sullivan County (423) 392-6200
DR. JAMES MCCOY M.D.
Family Medicine
105 W STONE DR, STE 1F
KINGSPORT, TN 37660
Sullivan County (276) 386-5980
ABRAM ARWOOD PT, DPT
Physical Therapist
105 W STONE DR, STE 1D
KINGSPORT, TN 37660
Sullivan County (423) 578-1560

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 Mary Francisco's NPI number?

The NPI number for Mary Francisco is 1801899521. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Mary Francisco located?

Mary Francisco practices at 105 W Stone Dr Ste 2A, Kingsport, TN 37660. The listed phone number is (423) 224-3375.

What is Mary Francisco's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Mary Francisco enrolled in Medicare?

Yes. Mary Francisco 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 Mary Francisco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Francisco reassigns Medicare benefits to 2 organizations: Holston Medical Group PC (Kingsport, TN) and Brookwell Health LLC (Morristown, TN). 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 Mary Francisco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Francisco accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Mary Francisco 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 Mary Francisco was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.