MR. MARK A RISEN (DPM) – Primary Podiatric Medicine Podiatrist, NPI 1174571004
Primary Podiatric Medicine Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 PODIATRY in KY
Provider Addresses for MR. MARK A RISEN (DPM)
1301 N Race St
Glasgow, KY 421413483
Phone: (270) 651-4444
Fax: (270) 651-4892
Type: Location
310 N L Rogers Wells Blvd
Glasgow, KY 421411300
Phone: (270) 651-6791
Fax: (270) 659-5850
Type: Location
810 Jamestown St
Columbia, KY 427281010
Phone: (270) 384-4764
Fax: (270) 384-2828
Type: Location
138 Campbellsville Byp
Campbellsville, KY 427188843
Phone: (270) 433-5806
Fax: (270) 433-2443
Type: Location
PO BOX 645996
CINCINNATI, OH 452645996
Phone: (270) 651-4444
Fax: (270) 651-4892
Type: Mailing
1003, Old Greensburg Road, Campbellsville, Taylor County, Kentucky, 42718, United States
CAMPBELLSVILLE, KY 427182571
Phone: (270) 433-5806
Fax: (270) 433-2443
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $575.
Total Amount is formed as General ($575) + Research ($0) + Ownership ($0) = $575.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Organogenesis Inc. ($162).
Total Amount
$575
General + Research + Ownership
Payments
27
Total payment records
General Amount
$575
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $162 |
| BSN Medical Inc | $98 |
| Reprise Biomedical, Inc. | $83 |
| ConvaTec Inc. | $38 |
| Urgo Medical North America, LLC | $25 |
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: 2004-02-06
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 |
|---|---|---|---|---|
| I20040206000061 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,650 | 612 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 321 | 321 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 265 | 198 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 198 | 176 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 177 | 45 | $0 |
Insurance plans in this area (ZIP 42141)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Family Practice | KY | |
| Nurse Practitioner | KY | |
| Orthopedic Surgery | IL | |
| Nurse Practitioner | OH | |
| U R O L O G Y | TN | |
| Physician Assistant | KY | |
| Interventional Pain Management | KY |
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