MARK J KELLUM MD
NPI 1881665859
Obstetrics & Gynecology in Tupelo, MS

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
1793 CLIFF GOOKIN BLVD, TUPELO, MS 38801(662) 842-1161(662) 844-4107 Get Directions Write a Review

NPPES record last updated: June 21, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark J Kellum Md NPPES

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

MARK J KELLUM MD (NPI 1881665859) is an individual obstetrics & gynecology provider in Tupelo, Mississippi, licensed in Mississippi (11046) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with North Mississippi Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1881665859
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMARK J KELLUMCredential: MD
Location Address1793 CLIFF GOOKIN BLVDTupelo, MS 38801-6723
Mailing Address1793 Cliff Gookin BlvdTupelo, MS 38801-6723 · (662) 842-1161 · Fax (662) 844-4107
Fax(662) 844-4107
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJune 21, 2012
NPI 1881665859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MS · 11046
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1793 CLIFF GOOKIN BLVD, Tupelo, MS 38801

Other Identifiers 3

Medicaid00115201MS
Medicare ID-Type Unspecified160000143MS
Medicare UPINB64296MS

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 J Kellum 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 ID244319101
PECOS Enrollment IDI20100518000895
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 9

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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
203 services203 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
203 services203 patients
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.
146 services117 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
106 services106 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.
51 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
Most-billed visit code 99213
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 16

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

Obstetrics & Gynecology
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Obstetrics & Gynecology
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Obstetrics & Gynecology
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Nurse Practitioner (Women's Health)
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Obstetrics & Gynecology
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Obstetrics & Gynecology
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Obstetrics & Gynecology
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801
Nurse Practitioner (Women's Health)
1793 CLIFF GOOKIN BLVD
TUPELO, MS 38801

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 Kellum's NPI number?

The NPI number for Mark Kellum is 1881665859. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Mark Kellum located?

Mark Kellum practices at 1793 Cliff Gookin Blvd, Tupelo, MS 38801. The listed phone number is (662) 842-1161.

What is Mark Kellum's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Kellum enrolled in Medicare?

Yes. Mark Kellum 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 Kellum accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Mark Kellum 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 Kellum affiliated with any hospitals?

According to CMS data, Mark Kellum is affiliated with North Mississippi Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Kellum was last updated on June 21, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.