DR. MARK BLAIR (M.D.) – Surgery Physician, NPI 1508869561
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
860 GENERAL SURGERY in TN
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Provider Addresses for DR. MARK BLAIR (M.D.)
Cedar Lane, Pineview Heights, Tullahoma, Coffee County, Tennessee, 37388, United States
STE 100
TULLAHOMA, TN 373884760
Phone: (931) 461-1150
Fax: (931) 454-2376
Type: Location
PO BOX 910
TULLAHOMA, TN 373880910
Phone: (931) 461-1150
Fax: (888) 498-3372
Type: Mailing
100 WILLIAM NORTHERN BLVD
TULLAHOMA, TN 373884754
Phone: (931) 461-1150
Fax: (888) 498-3372
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $790.
Total Amount is formed as General ($790) + Research ($0) + Ownership ($0) = $790.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Novo Nordisk Inc ($237).
Total Amount
$790
General + Research + Ownership
Payments
46
Total payment records
General Amount
$790
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-03-29
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 |
|---|---|---|---|---|
| I20040329000336 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 118 | 118 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 72 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 50 | 50 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 46 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 35 | $0 |
Insurance plans in this area (ZIP 37388)
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