DR. MARK I. BRUNNER (M.D.) – Gastroenterology Physician, NPI 1053386060

DR. MARK I. BRUNNER (M.D.) is a healthcare provider. based in Lexington, Kentucky. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 40350 (KY). The NPI Number for DR. MARK I. BRUNNER (M.D.) is 1053386060

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK I. BRUNNER (M.D.)
NPI
1053386060
Phone
(859) 971-4695
Address
4071 TATES CREEK CENTRE DR
Enumeration Date
22 February 2006
Last Update Date
8 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8592605100
Graduation Year
1999 (27 years ago)
PAC ID
7214913789
Group Practice PAC ID
5597867184
Professional Enrollment ID
I20070424000245
Address ID
KY405031499LE1740XRDXX300

Contacts

Secure Messaging
mbrunner30597@bhkydirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

259 GASTROENTEROLOGY in KY

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Provider Addresses for DR. MARK I. BRUNNER (M.D.)

  • 4071, Tates Creek Centre Drive, Jonestown, Lexington, Fayette County, Kentucky, 40517, United States

    STE 202

    LEXINGTON, KY 405173094

    Phone: (859) 971-4695

    Fax: (859) 971-4604

    Type: Mailing

  • 212, South 2nd Street, Baughman Heights, Danville, Boyle County, Kentucky, 40422, United States

    DANVILLE, KY 404221804

    Phone: (859) 236-5302

    Fax: (859) 236-5025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $2,164.

Total Amount is formed as General ($2,164) + Research ($0) + Ownership ($0) = $2,164.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($634).

Total Amount

$2,164

General + Research + Ownership

Payments

117

Total payment records

General Amount

$2,164

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2007-04-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070424000245IGastroenterologyKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7575$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4942$0
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope4444$0
45378Diagnostic exam of large bowel using a flexible endoscope3535$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3333$0
View full utilization report →

Insurance plans in this area (ZIP 40517)

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Provider's Procedures

DR. MARK I. BRUNNER (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYKY43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope2222

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597867184View full group profile
NameSpecialtyState
Nurse PractitionerKY
-KY
-KY
General PracticeKY
P S Y C H I A T R YKY
Thoracic Surgery, Cardiac SurgeryKY
N E U R O S U R G E R YKY
Physician AssistantKY
Emergency Medicine, General PracticeKY
Hematology/Oncology, Internal MedicineKY

Reviews

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Frequently asked questions

Can I verify DR. MARK I. BRUNNER (M.D.) with an NPI only?
You can start verification with NPI 1053386060 for DR. MARK I. BRUNNER (M.D.), then check state licensing separately.
Does the file indicate DR. MARK I. BRUNNER (M.D.) is practicing under active NPI?
Directory data currently reports DR. MARK I. BRUNNER (M.D.) as active.
What taxonomy line describes DR. MARK I. BRUNNER (M.D.)?
For research purposes, treat DR. MARK I. BRUNNER (M.D.) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK I. BRUNNER (M.D.) on a map?
Expect Lexington, Kentucky as a primary anchor for DR. MARK I. BRUNNER (M.D.) unless the record lists multiple sites.
Is the information about DR. MARK I. BRUNNER (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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