DR. MARK ALLEN CLAPP (M.D.) – Family Medicine Physician, NPI 1376592782
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,131 EMERGENCY MEDICINE in TN
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Provider Addresses for DR. MARK ALLEN CLAPP (M.D.)
North Washington Avenue, The Lowlands, Cookeville, Putnam County, Tennessee, 38501, United States
SUITE 130
COOKEVILLE, TN 385012603
Phone: (931) 526-1050
Fax: (931) 526-8163
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)
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: 2021-10-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080814000266 | I | Family Practice | TN | TBD |
| I20211026002871 | I | Emergency Medicine | KY | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 56 | 49 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 34 | 30 | $0 |
Insurance plans in this area (ZIP 38501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | GA | |
| Family Practice, Geriatric Medicine | AA | |
| Nurse Practitioner | KY | |
| Emergency Medicine, Internal Medicine | TN | |
| Internal Medicine | KY | |
| Family Practice, Internal Medicine | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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