MARK A BRANNON (P.A.-C) – Physician Assistant, NPI 1194839985

MARK A BRANNON (P.A.-C) is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA393 (KY). The NPI Number for MARK A BRANNON (P.A.-C) is 1194839985

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MARK A BRANNON (P.A.-C)
NPI
1194839985
Phone
(270) 441-4343
Address
2200 JEFFERSON AVE FL 5
Enumeration Date
18 August 2006
Last Update Date
4 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
2709655281
Graduation Year
1997 (29 years ago)
PAC ID
8628193950
Group Practice PAC ID
1456777069
Professional Enrollment ID
I20100910000026
Address ID
KY420641516MA520XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for MARK A BRANNON (P.A.-C)

  • Jefferson Avenue, Downtown, Toledo, Lucas County, Ohio, 43659, United States

    TOLEDO, OH 436047102

    Phone: (270) 441-4343

    Type: Mailing

  • 225 MEDICAL CENTER DR STE 301

    PADUCAH, KY 420037914

    Phone: (270) 441-4343

    Fax: (270) 441-4344

    Type: Location

  • 285 MEDICAL CENTER DR

    PADUCAH, KY 420037912

    Phone: (270) 441-4343

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $3,383.

Total Amount is formed as General ($3,383) + Research ($0) + Ownership ($0) = $3,383.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($500).

Total Amount

$3,383

General + Research + Ownership

Payments

138

Total payment records

General Amount

$3,383

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

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: 2010-09-10

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100910000026IPhysician AssistantKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes435275$0
99214Established patient office or other outpatient visit, 30-39 minutes299178$0
99215Established patient office or other outpatient visit, 40-54 minutes8244$0
36415Insertion of needle into vein for collection of blood sample6658$0
38222Biopsy and aspiration of bone marrow sample for diagnosis5857$0
View full utilization report →

Insurance plans in this area (ZIP 43604)

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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: 1456777069View full group profile
NameSpecialtyState
Nurse PractitionerOH
Internal MedicineTN
Nurse PractitionerKY
P S Y C H I A T R YOH
Nurse PractitionerOH
N E U R O S U R G E R YVA
Nurse PractitionerKY
Certified Clinical Nurse Specialist (Cns)OH
Neurology, Internal MedicineKY
N E U R O L O G YOH

Reviews

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Frequently asked questions

What NPI should I save for MARK A BRANNON (P.A.-C)?
Save NPI 1194839985 if you need a stable reference for MARK A BRANNON (P.A.-C).
Is MARK A BRANNON (P.A.-C) currently active in the NPI registry?
CMS-published data lists MARK A BRANNON (P.A.-C) as an active registrant.
Does MARK A BRANNON (P.A.-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for MARK A BRANNON (P.A.-C). Clinical services aligned with this taxonomy classification.
Does MARK A BRANNON (P.A.-C) practice in Ohio?
You will see Toledo, Ohio on file for MARK A BRANNON (P.A.-C) alongside any extra practice locations.
Is MARK A BRANNON (P.A.-C) a real provider?
This page reflects official NPPES data for NPI 1194839985. Always confirm identity and privileges with the practice and licensing boards.

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