MR. MARK W INGRAM (PAC) – Physician Assistant, NPI 1124079017
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,118 PHYSICIAN ASSISTANT in TN
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Provider Addresses for MR. MARK W INGRAM (PAC)
4519, Majestic Magnolia Lane, Morristown, Hamblen County, East Tennessee, Tennessee, 37814, United States
MORRISTOWN, TN 37814
Phone: (423) 312-8546
Fax: (423) 581-9692
Type: Mailing
Morristown-Hamblen Healthcare Center, 908, West 4th North Street, Old Towne West, Morristown, Hamblen County, East Tennessee, Tennessee, 37814, United States
MORRISTOWN, TN 37813
Phone: (423) 586-4995
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1045 days ago).
Enrollment records
3
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20100721000370 | I | Physician Assistant | TN | 2023-07-31 |
| I20161102001596 | I | Physician Assistant | FL | TBD |
| I20250603000677 | I | Physician Assistant | VA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 67 | 67 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 46 | 45 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 18 | 18 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 16 | 15 | $0 |
| 99291 | Critical care, first 30-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 37814)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Emergency Medicine | LA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | LA | |
| Nurse Practitioner | TN | |
| - | SC |
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