DR. MARK JOSEPH DALLE-AVE (M.D.) – Family Medicine Physician, NPI 1801892054
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 DR. MARK JOSEPH DALLE-AVE (M.D.)
4307 HIGHWAY 66 S
ROGERSVILLE, TN 378573155
Phone: (423) 921-1600
Fax: (423) 921-1677
Type: Location
PO BOX 850
ROGERSVILLE, TN 378570850
Phone: (423) 272-5202
Fax: (423) 272-4696
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Lilly USA, LLC ($53).
Total Amount
$118
General + Research + Ownership
Payments
5
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $53 |
| Corium, LLC | $34 |
| Novo Nordisk Inc | $17 |
| ABBVIE INC. | $15 |
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: 2008-12-18
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 |
|---|---|---|---|---|
| I20081218000718 | 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 |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 13 | 11 | $0 |
Insurance plans in this area (ZIP 37857)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TN | 81002 | Urinalysis, manual test | 54 | 37 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Clinical Social Worker | TN | |
| Nurse Practitioner | TN | |
| Internal Medicine | TN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
Reviews
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