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DR. MARK S. DUFFIELD DO
NPI 1881697803
Orthopaedic Surgery in Austell, GA

Active since May 23, 2005PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
3672 MARATHON CIR, SUITE 200, AUSTELL, GA 30106(770) 944-3303(770) 944-0285 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark S. Duffield Do NPPES

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

DR. MARK S. DUFFIELD DO (NPI 1881697803) is an individual orthopaedic surgery provider in Austell, Georgia, licensed in Georgia (038740) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1987).

NPPES Registry Identity

NPI1881697803
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK S. DUFFIELDCredential: DO
Location Address3672 MARATHON CIR, SUITE 200Austell, GA 30106-6821
Mailing Address900 Circle 75 Pkwy Se, Suite 1700Atlanta, GA 30339-3035 · (770) 953-6929 · Fax (770) 953-6972
Phone(770) 944-3303
Fax(770) 944-0285
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1987
Enumeration DateMay 23, 2005
Last NPPES UpdateNovember 14, 2014
✔ NPI 1881697803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in GA · 038740
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 038740 (GA)
3672 MARATHON CIR, Austell, GA 30106
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Other Identifiers 4

Medicaid00622905BGA
Medicare UPINF17100GA
Medicare UPINF17100
Medicare PIN20BBCZW

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Magnolia Health and more.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 S. Duffield Do 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 ID9638066541
PECOS Enrollment IDI20050119000587
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 10

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.
325 services209 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
282 services62 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
214 services145 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
89 services35 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
78 services69 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
78 services69 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
0%992 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,890 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,555 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
24%287 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%949 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%1,996 patients3/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%578 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
17%1,835 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 97% · 974 patients
87%974 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%1,995 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%1,995 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
35%1,995 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

DR. KEITH A. LAMBERSON M.D
Orthopaedic Surgery
3672 MARATHON CIR, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 944-3303
PINNACLE ORTHOPAEDICS AND SPORTS MEDICINE SPECIALISTS, LLC
Clinic/Center (Physical Therapy)
3672 MARATHON CIR, SUITE 100
AUSTELL, GA 30106
Cobb County (678) 945-8525
SUDHIR RAMA BELAGAJE MD
Orthopaedic Surgery
3672 MARATHON CIR, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 944-3303
ADAM HARWARD ATC
Specialist/Technologist (Athletic Trainer)
3672 MARATHON CIR, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 944-3303
ORTHOATLANTA, LLC
Orthopaedic Surgery
3672 MARATHON CIR, STE 200
AUSTELL, GA 30106
Cobb County (770) 944-3303
ALAN THOMAS KIPPENY PA-C
Physician Assistant
3672 MARATHON CIR, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 944-3303
TERRY M THOMPSON C.O.
Orthotist
3672 MARATHON CIR, SUITE 140
AUSTELL, GA 30106
Cobb County (678) 738-7380
BRIA MICHELLE FULLERTON
Physical Therapist
3672 MARATHON CIR
AUSTELL, GA 30106
Cobb County (770) 944-3303

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 Duffield's NPI number?

The NPI number for Mark Duffield is 1881697803. It was assigned to this individual provider in the NPPES registry on May 23, 2005.

Where is Mark Duffield located?

Mark Duffield practices at 3672 Marathon Cir Suite 200, Austell, GA 30106. The listed phone number is (770) 944-3303.

What is Mark Duffield's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Duffield enrolled in Medicare?

Yes. Mark Duffield 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 Duffield accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Mark Duffield 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 Duffield affiliated with any hospitals?

According to CMS data, Mark Duffield is affiliated with Piedmont Hospital and Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Duffield was last updated on November 14, 2014. 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.