Active NPI 1164404042 Individual Practitioner Male Practitioner

Dr. Mark K Addison , MD

Specialist • Cullman, AL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Addison, MD is a registered healthcare professional specializing in Specialist in Cullman, AL. Practice services are available at 1800 AL HIGHWAY 157 STE 101 under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 Al Highway 157 Ste 101

Cullman, AL 350581273

Telephone 2567394131

Fax 2567396027

Associated Practice Facility / Clinic

🏢 Cullman Primary Care, Pc Facility NPI 1598717381

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Cullman, AL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.0 Yrs

State Avg: 34.8 Yrs

Regional Practice Density

72 Specialists

Practicing in Cullman, AL (611 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

33.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	38	33	$10.00	$7.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	23	$161.67	$116.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$185.00	$114.62
G0442 Annual alcohol misuse screening, 5 to 15 minutes	14	14	$30.00	$16.72
G0444 Annual depression screening, 5 to 15 minutes	14	14	$30.00	$16.72
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$117.08	$83.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	86	47	$10.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	35	$147.76	$116.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$199.10	$120.33
G0442 Annual alcohol misuse screening, 5 to 15 minutes	37	37	$25.00	$16.92
G0444 Annual depression screening, 5 to 15 minutes	35	35	$25.00	$17.09
99213 Established patient office or other outpatient visit, typically 15 minutes	33	25	$105.85	$84.33
81003 Automated urinalysis test	14	14	$9.00	$2.22
82044 Urine microalbumin (protein) analysis	11	11	$10.00	$6.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	60	38	$10.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	36	$148.56	$124.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$199.79	$126.65
G0442 Annual alcohol misuse screening, 5 to 15 minutes	36	36	$25.00	$17.00
G0444 Annual depression screening, 5 to 15 minutes	35	35	$25.00	$17.49
99213 Established patient office or other outpatient visit, typically 15 minutes	24	18	$116.58	$87.47
G0008 Administration of influenza virus vaccine	15	15	$35.00	$15.86
90662 Influenza vaccine split virus, preservative free	11	11	$67.00	$65.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	43	$148.19	$103.08
36415 Insertion of needle into vein for collection of blood sample	43	32	$10.00	$2.98
99213 Established patient office or other outpatient visit, typically 15 minutes	21	15	$104.43	$70.89
G0442 Annual alcohol misuse screening, 5 to 15 minutes	19	19	$25.00	$16.99
G0444 Annual depression screening, 5 to 15 minutes	17	17	$25.00	$17.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	15	15	$197.53	$109.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	33	$145.42	$98.97
36415 Insertion of needle into vein for collection of blood sample	41	31	$10.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	11	$96.84	$68.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	24	$275.47	$191.00
99213 Established patient office or other outpatient visit, typically 15 minutes	28	23	$98.07	$69.03
83036 Hemoglobin A1C level	28	14	$22.32	$10.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	12	$146.17	$98.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$160.65	$107.53
99238 Hospital discharge day management, 30 minutes or less	16	13	$108.94	$68.74
G0008 Administration of influenza virus vaccine	11	11	$35.18	$15.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	329	250	$48.12	$7.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	33	$145.00	$93.18
36415 Insertion of needle into vein for collection of blood sample	60	29	$10.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	42	26	$100.00	$64.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$260.71	$184.57
G0008 Administration of influenza virus vaccine	17	17	$37.00	$18.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$150.00	$104.05
90662 Influenza vaccine split virus, preservative free	16	16	$54.00	$52.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	1,035	715	$45.90	$8.08
99183 Management and supervision of oxygen chamber therapy per session	92	11	$200.00	$103.86
36415 Insertion of needle into vein for collection of blood sample	76	40	$10.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	31	$143.91	$98.41
99213 Established patient office or other outpatient visit, typically 15 minutes	39	26	$100.00	$67.92
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	11	$125.00	$98.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$241.00	$191.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	14	$90.50	$68.40
G0008 Administration of influenza virus vaccine	16	16	$37.00	$23.04
90662 Influenza vaccine split virus, preservative free	15	15	$53.20	$47.57

Medical Specialties & State Licenses

CMS Verified: 2020-12-22

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 13608

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000087230 (AL)

Secondary Practice Locations

1948 Al Highway 157, Suite 330

Cullman, AL 350580643

Phone: 2567393838

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Debra Morrison , RDN

Dietitian, Registered

NPI 1144458563

Registered Dietitian Nutritionist

Dr. John Gober , MD

Family Medicine

NPI 1275515454

Doctor of Medicine (M.D.)

Rebecca Williams , CRNP

Registered Nurse - General Practice

NPI 1366424301

Certified Registered Nurse Practitioner

Dr. Walter Brumleve , MD

Family Medicine

NPI 1437131620

Doctor of Medicine (M.D.)

Charles Thornton , NURSE PRACTITIONER

Nurse Practitioner

NPI 1447631692

NURSEPRACTITIONER

Dr. Andrew Jones , MD

Pediatrics

NPI 1669834370

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location August 01, 2019

Registered at 1800 AL HIGHWAY 157 STE 101, CULLMAN, AL 350581273 (Tel: 2567394131)

📍

Updated Business Mailing Address August 01, 2019

Registered at 503 CLARK ST NE, CULLMAN, AL 350551921 (Tel: 2567390801)

✅

NPI Profile Active October 07, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2010

Registered at 1948 AL HIGHWAY 157, SUITE 330, CULLMAN, AL 350580643 (Tel: 2567393838)

📍

Updated Business Mailing Address October 07, 2010

Registered at 1948 AL HIGHWAY 157, SUITE 330, CULLMAN, AL 350580643 (Tel: 2567393838)

👤

Provider Name / Credentials Updated October 07, 2010

Recorded as MARK ADDISON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2010

Specialist (License #13608 in AL)

🟢

Initial NPI Registration & Enumeration November 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164404042

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 16, 2005

Last Update: December 22, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

503 Clark St Ne

Cullman, AL 350551921

Phone: 2567390801

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.