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Deactivated NPI 1942296405 Deactivated / Inactive NPI Male Practitioner

Dr. Mark B Kingston , MD

General Practice • Louisa, KY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mark Kingston has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2005
NPI Deactivation Date October 23, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Kingston, MD was a registered General Practice practicing in Louisa, KY. Throughout an active medical career spanning 19 years, Dr. Kingston provided care at the practice location at 203 S WATER ST until profile deactivation on 2024-10-23.

Historical Medicare Part B clinical services included emergency department visit for life threatening or functioning severity, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, emergency department visit with moderate level of medical decision making. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

203 S Water St

Louisa, KY 412301387

Telephone 6066384504
Fax 6066384186
Associated Practice Facility / Clinic
🏢 Riverview Family Practice Psc Facility NPI 1144218413

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Louisa, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Louisa, KY (142 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.6% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
136 131 $2089.00 $177.19
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
107 94 $103.00 $8.15
99284 Emergency department visit with moderate level of medical decision making
91 80 $1416.00 $121.45
99291 Critical care, first 30-74 minutes
29 28 $2690.00 $215.25
99283 Emergency department visit with low level of medical decision making
29 26 $747.00 $71.38

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License KY 20555

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1053307538

Doctor of Medicine (M.D.)

Cleve Jackson , APRN FNP-C

Nurse Practitioner - Family

NPI 1093666190

APRNFNPC

NPI 1184685703

Doctor of Osteopathic Medicine (D.O.)

NPI 1861488025

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 23, 2024

Record deactivated on October 23, 2024

NPI Profile Active November 11, 2009

NPI status registered as active in NPPES database

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Updated Practice Location November 11, 2009

Registered at 203 S WATER ST, LOUISA, KY 412301387 (Tel: 6066384504)

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Updated Business Mailing Address November 11, 2009

Registered at 203 S WATER ST, PO BOX 120, LOUISA, KY 412301387 (Tel: 6066384504)

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Provider Name / Credentials Updated November 11, 2009

Recorded as MARK KINGSTON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2009

General Practice (License #20555 in KY)

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Initial NPI Registration & Enumeration September 21, 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: 1942296405
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2005
Last Update: November 11, 2009
Deactivation Date: October 23, 2024

Mailing Address

203 S Water St, Po Box 120

Louisa, KY 412301387

Phone: 6066384504

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.