DR. MARK K ADDISON (M.D.) – Specialist, NPI 1164404042
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MARK K ADDISON (M.D.)
Clark Street Northeast, Cullman, Cullman County, Alabama, 35055, United States
CULLMAN, AL 350551921
Phone: (256) 739-0801
Fax: (256) 739-0027
Type: Mailing
Old Highway 157, Terrace Heights, Cullman, Cullman County, Alabama, 35056, United States
CULLMAN, AL 350581273
Phone: (256) 739-4131
Fax: (256) 739-6027
Type: Location
1948 Al Highway 157
Suite 330
Cullman, AL 350580643
Phone: (256) 739-3838
Fax: (256) 739-8350
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: ABBVIE INC. ($20).
Total Amount
$40
General + Research + Ownership
Payments
3
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $20 |
| Exact Sciences Corporation | $15 |
| Corium, LLC | $4 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-03-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060310000584 | I | Pediatric Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 38 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 30 | 23 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 14 | 14 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 35055)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PEDIATRIC MEDICINE | AL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1418 | 999 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| - | AL | |
| - | AL | |
| - | AL | |
| Emergency Medicine, Family Practice | AL |
Reviews
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