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MARK JOHN MILONE MD
NPI 1881635803
Internal Medicine - Gastroenterology in Jackson, TN

Active since June 09, 2006PECOS Enrolled
100/100
CMS Quality Rating
2863 HIGHWAY 45 BYP, JACKSON, TN 38305(731) 422-0213(731) 660-8336 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2024, Apr 6, 2020 (2 updates tracked since 2020).

About Mark John Milone Md NPPES

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

MARK JOHN MILONE MD (NPI 1881635803) is an individual gastroenterology provider in Jackson, Tennessee, licensed in Tennessee (71341) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Creighton University School Of Medicine (1986).

NPPES Registry Identity

NPI1881635803
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMARK JOHN MILONECredential: MD
Location Address2863 HIGHWAY 45 BYPJackson, TN 38305-3618
Mailing AddressPo Box 400Jackson, TN 38302-0400 · (731) 423-8697 · Fax (731) 256-7632
Phone(731) 422-0213
Fax(731) 660-8336
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1986
Enumeration DateJune 9, 2006
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
✔ NPI 1881635803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TN · 71341
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2863 HIGHWAY 45 BYP, Jackson, TN 38305
Open in Google Maps ↗

Other Identifiers 2

Medicaid47075927913NE
Other00687NE · Bcbsn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark John Milone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062491301
PECOS Enrollment IDI20240816003665
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 Milone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jackson Clinic PA
Same address
Internal Medicine
2863 HIGHWAY 45 BYP
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 183 clinicians in this Medicare group
NPI 1285629386 (731) 664-1375
Gastroenterology Associates, LLC
1,057 mi
Gastroenterology
1441 WILKINS CIR
Casper, WY 82601
  • Reassigned Medicare billing, Wyoming enrollment
  • 26 clinicians in this Medicare group
NPI 1811909807 (307) 265-1792

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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
41 services34 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
39 services39 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
33 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
31 services31 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440002
Location620 Skyline DriveJackson, TN 38301 · Madison County
Emergency services Birthing friendly

Baptist Memorial Hospital - Carroll County

Acute Care Hospitals · Huntingdon, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440016
Location631 Rb Wilson DrHuntingdon, TN 38344 · Carroll County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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.

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.

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

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.

AMY K LAWRENCE FNP
Nurse Practitioner (Family)
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 422-0213
LISA M PIERCEY MD
Pediatrics
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 664-1375
ANNA ELIZABETH GLASS BURGESS MD
Family Medicine
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 664-1375
JOEL D BRUNSON APN
Nurse Practitioner (Family)
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 422-0213
CHELSEY M WYLDE PSY. D.
Psychologist (Clinical Child & Adolescent)
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 664-1375
KELLIE L WALLACE-WILDING MD
Family Medicine
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 664-1375
AMY E JOHNSON M.D.
Pediatrics
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 422-0213
TODD TEAGUE MD
Internal Medicine
2863 HIGHWAY 45 BYP
JACKSON, TN 38305
Madison County (731) 664-1375

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 Milone's NPI number?

The NPI number for Mark Milone is 1881635803. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Mark Milone located?

Mark Milone practices at 2863 Highway 45 Byp, Jackson, TN 38305. The listed phone number is (731) 422-0213.

What is Mark Milone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Mark Milone enrolled in Medicare?

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

Which organizations bill Medicare for Mark Milone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Milone reassigns Medicare benefits to 2 organizations: Jackson Clinic PA (Jackson, TN) and Gastroenterology Associates, LLC (Casper, WY). 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 Milone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Milone accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Mark Milone 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 Milone affiliated with any hospitals?

According to CMS data, Mark Milone is affiliated with Jackson-Madison County General Hospital and Baptist Memorial Hospital - Carroll County.

When was this NPI record last updated?

The NPPES record for Mark Milone was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.