MARK EARL GROSSNICKLE MD
NPI 1942281076
Radiology - Diagnostic Radiology in Macon, GA

Active since November 07, 2005PECOS EnrolledAccepts Medicare Assignment
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT, MACON, GA 31201(478) 743-1458(478) 755-1332 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark Earl Grossnickle Md NPPES

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

MARK EARL GROSSNICKLE MD (NPI 1942281076) is an individual diagnostic radiology provider in Macon, Georgia, licensed in Georgia (35435) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Duke University School Of Medicine (1988).

NPPES Registry Identity

NPI1942281076
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK EARL GROSSNICKLECredential: MD
Location Address770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENTMacon, GA 31201-7516
Mailing Address770 Pine St Ste 290, Attn: Radiology DepartmentMacon, GA 31201-7516 · (478) 743-1458 · Fax (478) 755-1332
Fax(478) 755-1332
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1988
Enumeration DateNovember 7, 2005
Last NPPES UpdateJuly 3, 2014
NPI 1942281076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in GA · 35435
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
770 PINE ST STE 290, Macon, GA 31201

Other Identifiers 3

Medicare UPINF56761
Medicaid000542924CGA
Medicare PIN30BDHFLGA

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 Earl Grossnickle 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 ID6305744111
PECOS Enrollment IDI20031230000508
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 31

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.

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
858 services49 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
334 services303 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
232 services223 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
93 services92 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
81 services81 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
57 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Atrium Health Navicent Peach

Critical Access Hospitals · Byron, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111310
Location1960 Highway 247 ConnectorByron, GA 31008 · Peach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%420 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%46 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 20

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

Radiology (Diagnostic Radiology)
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201
Physician Assistant
770 PINE ST STE 290
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201
Radiology (Diagnostic Radiology)
770 PINE ST STE 290, ATTN: RADIOLOGY DEPARTMENT
MACON, GA 31201

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 Grossnickle's NPI number?

The NPI number for Mark Grossnickle is 1942281076. It was assigned to this individual provider in the NPPES registry on November 7, 2005.

Where is Mark Grossnickle located?

Mark Grossnickle practices at 770 Pine St Ste 290 Attn: Radiology Department, Macon, GA 31201. The listed phone number is (478) 743-1458.

What is Mark Grossnickle's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Grossnickle enrolled in Medicare?

Yes. Mark Grossnickle 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 Grossnickle accept?

Health plans from Alliant Health Plans, Inc. list Mark Grossnickle 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 Grossnickle affiliated with any hospitals?

According to CMS data, Mark Grossnickle is affiliated with Atrium Health Navicent The Medical Center, Navicent Health Baldwin, Coliseum Medical Centers, LLC, Dba, Piedmont Macon North Hospital and Atrium Health Navicent Peach.

When was this NPI record last updated?

The NPPES record for Mark Grossnickle was last updated on July 3, 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.