MARK A. TACKETT (M.D.) – Family Medicine Physician, NPI 1144281791
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
Provider Addresses for MARK A. TACKETT (M.D.)
PO BOX 23229
OWENSBORO, KY 423043229
Phone: (270) 688-1330
Fax: (270) 688-1338
Type: Mailing
2025 W Everly Brothers Blvd
Powderly, KY 423675401
Phone: (270) 377-2600
Fax: (270) 377-2610
Type: Location
510 Ruby Dr
Madisonville, KY 424312168
Phone: (270) 399-7900
Fax: (270) 399-7910
Type: Location
1200 Barrett Blvd
Henderson, KY 424204950
Phone: (270) 844-8600
Fax: (270) 844-8610
Type: Location
Everly Brothers Boulevard, Powderly, Muhlenberg County, Kentucky, 42367, United States
POWDERLY, KY 423675401
Phone: (270) 377-2600
Fax: (270) 377-2610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novo Nordisk Inc ($32).
Total Amount
$109
General + Research + Ownership
Payments
7
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2006-09-26
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 |
|---|---|---|---|---|
| I20060926000499 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| A9585 | Injection, gadobutrol, 0.1 ml | 5,103 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 691 | 325 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 300 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 266 | 160 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 185 | 24 | $0 |
Insurance plans in this area (ZIP 42304)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 90670 | Pneumococcal vaccine for injection into muscle | 76 | 76 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| - | CA | |
| O T O L A R Y N G O L O G Y | KY | |
| - | KY | |
| O T O L A R Y N G O L O G Y | MO | |
| - | KY | |
| Family Practice | IA | |
| - | KY | |
| Emergency Medicine | KY | |
| - | KY |
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