DR. MARK ALLEN WALLINGFORD (MD) – Internal Medicine Physician, NPI 1205919875

DR. MARK ALLEN WALLINGFORD (MD) is a healthcare provider. based in Maysville, Kentucky. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 24430 (KY). The NPI Number for DR. MARK ALLEN WALLINGFORD (MD) is 1205919875

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ALLEN WALLINGFORD (MD)
NPI
1205919875
Phone
(606) 759-7615
Address
2009 OLD MAIN STREET
Enumeration Date
24 October 2006
Last Update Date
30 January 2017

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6067597615
Graduation Year
1982 (44 years ago)
PAC ID
4587638721
Group Practice PAC ID
9032276274
Professional Enrollment ID
I20101015000896
Address ID
KY410568928MA2009XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,216 INTERNAL MEDICINE in KY

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Provider Addresses for DR. MARK ALLEN WALLINGFORD (MD)

  • 2009, Old Main Street, Old Washington, Maysville, Mason County, Kentucky, 41056, United States

    MAYSVILLE, KY 41056

    Phone: (606) 759-7615

    Fax: (606) 759-7821

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($57).

Total Amount

$57

General + Research + Ownership

Payments

1

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-10-15

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
I20101015000896IInternal MedicineKYTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes797296$0
36415Insertion of needle into vein for collection of blood sample514275$0
96372Injection of drug or substance under skin or into muscle19832$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg17923$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit171171$0
View full utilization report →

Insurance plans in this area (ZIP 41056)

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Provider's Procedures

DR. MARK ALLEN WALLINGFORD (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEKY85610Blood test, clotting time17120

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: 9032276274View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
-KY
Nurse PractitionerTN
Physician AssistantKY
Internal MedicineKY
O T O L A R Y N G O L O G YOH
-KY
P O D I A T R YPA

Reviews

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Frequently asked questions

What is DR. MARK ALLEN WALLINGFORD (MD)'s NPI number?
DR. MARK ALLEN WALLINGFORD (MD)'s NPI is 1205919875 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. MARK ALLEN WALLINGFORD (MD)?
You should see DR. MARK ALLEN WALLINGFORD (MD) as active in CMS-hosted NPPES data.
What kind of doctor is DR. MARK ALLEN WALLINGFORD (MD)?
DR. MARK ALLEN WALLINGFORD (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Kentucky is DR. MARK ALLEN WALLINGFORD (MD) registered?
Use Maysville, Kentucky as the headline location for DR. MARK ALLEN WALLINGFORD (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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