MARY AXELRAD (MD) – Family Medicine Physician, NPI 1003278672
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
Provider Addresses for MARY AXELRAD (MD)
208 Medical Park Blvd
Bristol, TN 376207343
Phone: (423) 989-4050
Fax: (423) 990-3045
Type: Location
917 W Walnut St
Johnson City, TN 376046527
Phone: (423) 439-6464
Fax: (423) 439-7118
Type: Location
102 E Ravine Rd
Kingsport, TN 376603814
Phone: (423) 245-9600
Fax: (423) 245-9634
Type: Location
208, Medical Park Boulevard, Bristol, Sullivan County, Tennessee, 37620, United States
BRISTOL, TN 376207343
Phone: (423) 989-4050
Fax: (423) 990-3045
Type: Location
4848 FORT HENRY DR
KINGSPORT, TN 376633347
Phone: (423) 239-5141
Fax: (423) 239-4869
Type: Location
Kingsport, Sullivan County, Tennessee, United States
KINGSPORT, TN 376620009
Phone: (423) 857-2093
Fax: (423) 390-3340
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $225.
Total Amount is formed as General ($225) + Research ($0) + Ownership ($0) = $225.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: ABBVIE INC. ($44).
Total Amount
$225
General + Research + Ownership
Payments
13
Total payment records
General Amount
$225
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $44 |
| PFIZER INC. | $35 |
| Novartis Pharmaceuticals Corporation | $31 |
| Lilly USA, LLC | $31 |
| Inogen, Inc. | $29 |
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: 2019-05-02
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 |
|---|---|---|---|---|
| I20190502003023 | I | Family Practice | TN | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 171 | 136 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 30 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 27 | 26 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 25 | 25 | $0 |
Insurance plans in this area (ZIP 37620)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology, Internal Medicine | TN | |
| Physical Therapist In Private Practice | FL | |
| - | TN | |
| Infectious Disease | TN | |
| - | TN | |
| Family Practice | TN | |
| Internal Medicine | TN | |
| Internal Medicine | VA | |
| Nurse Practitioner | TN | |
| - | MD |
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