MARK A TALLEY (MD) – Diagnostic Radiology Physician, NPI 1235164468

MARK A TALLEY (MD) is a healthcare provider. based in Chattanooga, Tennessee. specializing in Diagnostic Radiology Physician. They hold the professional credentials MD. They hold a License No. 17819 (TN). The NPI Number for MARK A TALLEY (MD) is 1235164468

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MARK A TALLEY (MD)
NPI
1235164468
Phone
(423) 553-1220
Address
1710 Gunbarrel Rd
Enumeration Date
12 July 2006
Last Update Date
12 November 2018

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
6153120600
Graduation Year
1982 (44 years ago)
PAC ID
9830172006
Group Practice PAC ID
1850280470
Professional Enrollment ID
I20040609000692
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MARK A TALLEY (MD)

  • 1710 Gunbarrel Rd

    Chattanooga, TN 374213127

    Phone: (423) 553-1220

    Fax: (423) 553-1231

    Type: Location

  • 25th Avenue North, Nashville, Davidson County, Tennessee, 37203, United States

    NASHVILLE, TN 372031631

    Phone: (615) 312-1479

    Fax: (615) 320-3259

    Type: Mailing

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: 2004-06-09

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
I20040609000692IDiagnostic RadiologyTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37421)

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Provider's Procedures

MARK A TALLEY (MD) performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTN71250CT scan chest5250
DIAGNOSTIC RADIOLOGYTN73562X-ray of knee, 3 views4036
DIAGNOSTIC RADIOLOGYTN74177CT scan of abdomen and pelvis with contrast7372
DIAGNOSTIC RADIOLOGYTN77012Radiological supervision and interpretation of CT guidance for needle insertion3433
DIAGNOSTIC RADIOLOGYTN93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers1818

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: 1850280470View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Diagnostic RadiologyTN
-TN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic RadiologyMN
Diagnostic Radiology, Internal MedicineKY
Diagnostic RadiologyTN
Diagnostic RadiologyTN
Diagnostic RadiologyTN

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Frequently asked questions

What federal number belongs to MARK A TALLEY (MD)?
The federal identifier for MARK A TALLEY (MD) is NPI 1235164468.
Is MARK A TALLEY (MD)'s NPI currently valid?
The extract we use shows MARK A TALLEY (MD) as active.
What does MARK A TALLEY (MD) treat or focus on?
Patients typically see MARK A TALLEY (MD) under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARK A TALLEY (MD)?
The page summarizes Chattanooga, Tennessee for MARK A TALLEY (MD); expand the address list for detail.
Is MARK A TALLEY (MD) a real provider?
This page reflects official NPPES data for NPI 1235164468. Always confirm identity and privileges with the practice and licensing boards.

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