Active NPI 1861492191 Individual Practitioner Male Practitioner

Dr. Mark E Blankenship , MD

Colon & Rectal Surgery • Rincon, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Blankenship, MD is a certified Colon & Rectal Surgery practicing in Rincon, GA. With approximately 34 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1992, Dr. Blankenship delivers high-quality medical care to the local community at 594 S COLUMBIA AVE.

Dr. Blankenship maintains professional affiliations with Metro Surgical Pc, Sjc Ms General Surgery Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, diagnostic examination of the anus using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

594 S Columbia Ave
Ste 100

Rincon, GA 313260919

Telephone 9128264057

Fax 9128262853

Associated Practice Facility / Clinic

🏢 Metro Surgical, Pc Facility NPI 1902823024

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Rincon, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs Matches City Avg

City Avg: 34.0 Yrs

State Avg: 26.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Rincon, GA (81 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blankenship (34 Years) 34 Yrs

Rincon Specialty Average (34.0 Years) 34.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	185	99	$120.00	$84.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$175.00	$103.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	35	$100.67	$52.33
46600 Diagnostic examination of the anus using an endoscope	43	38	$200.00	$105.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$95.00	$46.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	13	$175.00	$119.59
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$130.00	$66.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	155	109	$120.00	$82.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	62	$175.00	$117.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	76	49	$95.00	$47.61
46600 Diagnostic examination of the anus using an endoscope	51	42	$200.00	$108.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$175.00	$105.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$250.00	$151.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$100.00	$49.60
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$800.00	$170.76
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$1075.00	$215.60
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	13	13	$1350.00	$116.95
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$130.00	$67.51
64561 Insertion of sacral nerve neurostimulator electrode array	11	11	$2000.00	$289.00

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	136	98	$175.49	$120.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$168.86	$105.18
99213 Established patient office or other outpatient visit, typically 15 minutes	94	67	$118.65	$85.56
46600 Diagnostic examination of the anus using an endoscope	68	57	$198.69	$111.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	32	$88.36	$36.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$250.04	$157.60
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$833.00	$176.31
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$1075.00	$219.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	124	124	$165.60	$107.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	88	$175.80	$124.10
99213 Established patient office or other outpatient visit, typically 15 minutes	107	66	$118.60	$87.32
46600 Diagnostic examination of the anus using an endoscope	79	69	$198.10	$110.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	66	34	$86.37	$36.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$97.80	$53.54
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$844.00	$181.60
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$120.87	$69.64
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$1075.00	$223.60

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	173	97	$175.80	$104.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$165.60	$103.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	21	$86.37	$39.01
46600 Diagnostic examination of the anus using an endoscope	41	38	$198.10	$95.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$220.84	$136.57
45378 Diagnostic exam of large bowel using a flexible endoscope	14	14	$844.00	$181.16

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	203	124	$175.80	$104.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$165.60	$104.05
46600 Diagnostic examination of the anus using an endoscope	70	56	$198.10	$89.92
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	19	$86.37	$38.76
99213 Established patient office or other outpatient visit, typically 15 minutes	33	30	$118.16	$71.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$220.84	$134.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$260.80	$140.21
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$843.56	$183.00
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1075.00	$224.15
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	12	12	$3233.15	$1262.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$250.40	$158.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	140	52	$86.37	$36.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$166.03	$97.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	94	$175.80	$96.99
46600 Diagnostic examination of the anus using an endoscope	61	53	$198.10	$79.01
99213 Established patient office or other outpatient visit, typically 15 minutes	55	48	$118.16	$65.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$220.84	$125.91
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$163.91	$93.77
44204 Partial removal of large bowel using an endoscope	14	14	$3143.40	$1356.27
45378 Diagnostic exam of large bowel using a flexible endoscope	13	13	$843.56	$170.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	125	63	$86.37	$35.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	86	86	$166.30	$96.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	64	$175.80	$94.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	33	$117.75	$65.50
99213 Established patient office or other outpatient visit, typically 15 minutes	65	52	$119.81	$64.78
46600 Diagnostic examination of the anus using an endoscope	36	31	$198.10	$77.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$290.80	$183.91
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$843.56	$173.88
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$1075.00	$204.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$250.40	$146.70

Medical Specialties & State Licenses

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License GA 043557

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Surgery

NUCC Taxonomy Code: 208600000X

State License GA 043557

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00791557A (GA)

Commercial Insurance / Payer ID Rr Medicare

CN8505 (GA)

Hospital & Practice Group Affiliations

Sjc Ms General Surgery Llc

594 S Columbia Ave, Rincon, GA 313269095

Phone: 9128264057

Metro Surgical Pc

10 Oak Forest Rd, Bluffton, SC 299104974

Phone: 9128264057

Metro Surgical Pc

5354 Reynolds St, Savannah, GA 314056009

Phone: 9123520920

Metro Surgical Pc

594 S Columbia Ave, Rincon, GA 313269095

Phone: 9128264057

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Anthony Foley , MD

Surgery

NPI 1043212731

Doctor of Medicine (M.D.)

Dr. Keide Akinola , MD

Surgery

NPI 1104387760

Doctor of Medicine (M.D.)

Dr. T Barnes , MD

Surgery

NPI 1174884233

Doctor of Medicine (M.D.)

Dr. Russell Kirks , MD

Surgery

NPI 1285079186

Doctor of Medicine (M.D.)

Dr. John Odom , MD

Surgery

NPI 1508866773

Doctor of Medicine (M.D.)

Ayobami Fatunmbi

Student in an Organized Health Care Education/Training Program

NPI 1720548696

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active November 15, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2007

Registered at 594 S COLUMBIA AVE, STE 100, RINCON, GA 313260919 (Tel: 9128264057)

📍

Updated Business Mailing Address November 15, 2007

Registered at PO BOX 919, RINCON, GA 313260919 (Tel: 9128264057)

👤

Provider Name / Credentials Updated November 15, 2007

Recorded as MARK BLANKENSHIP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2007

Surgery (License #043557 in GA)

🟢

Initial NPI Registration & Enumeration July 28, 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: 1861492191

Entity Type:

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

Enumeration Date: July 28, 2005

Last Update: November 15, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 919

Rincon, GA 313260919

Phone: 9128264057

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.