Active NPI 1982959664 Individual Practitioner Male Practitioner

Dr. Mark Raymond Hightower , MD

Surgery • Brainerd, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Hightower, MD is a certified Surgery practicing in Brainerd, MN. With approximately 14 years of clinical experience since graduating from University Of Nebraska College Of Medicine in 2012, Dr. Hightower delivers high-quality medical care to the local community at 2024 S 6TH ST.

Dr. Hightower is affiliated with St Josephs Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito, removal of polyps or growths of large bowel using an endoscope with mechanical snare, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2024 S 6th St

Brainerd, MN 564014529

Telephone 2188287101

Associated Practice Facility / Clinic

🏢 North Central Cardiovascular Diagnostics, Llc Facility NPI 1871533802

Medicare Profile & Education

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Brainerd, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

14 Yrs -5.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Brainerd, MN (770 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hightower (14 Years) 14 Yrs

Brainerd Specialty Average (19.5 Years) 19.5 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
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	73	72	$20.00	$4.91
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	45	45	$947.00	$230.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$144.67	$46.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	22	$499.91	$119.35
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$136.53	$44.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$95.13	$33.23
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$517.00	$77.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$202.46	$76.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$700.00	$168.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	22	$130.13	$47.01
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	39	39	$17.85	$4.91
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$947.00	$225.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$193.58	$78.43
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$131.00	$45.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$471.94	$124.08
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$146.50	$63.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$90.69	$33.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$517.00	$59.94
43248 Insertion of guide wire with dilation of esophagus using a flexible endoscope	11	11	$605.27	$156.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	19	$215.47	$68.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$180.28	$80.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	19	$118.33	$36.85
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	22	21	$17.00	$5.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$277.37	$130.13
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$943.65	$245.91
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$131.08	$64.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	20	$209.72	$69.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$174.00	$81.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	14	$72.00	$35.29
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	17	17	$17.00	$5.15
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$123.00	$48.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$266.00	$132.79
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$290.27	$97.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	18	$207.13	$71.58
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	16	15	$17.00	$5.29
99221 Initial hospital inpatient care per day, typically 30 minutes	13	12	$293.00	$99.74
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$129.08	$50.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$100.00	$49.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	13	$198.76	$70.65
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	15	15	$69.73	$5.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$140.85	$73.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$131.92	$76.80

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	21	21	$108.00	$73.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	11	$168.00	$70.94
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	17	16	$130.00	$5.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$318.00	$132.75

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	13	13	$108.00	$73.51

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 61942

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.

Hospital & Practice Group Affiliations

St Josephs Medical Center

2024 S 6th St, Brainerd, MN 564014529

Phone: 2188287100

Practice Associates & Co-Workers

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

12 Associated Practitioners

Karli Dullum , APRN, CNP

Nurse Practitioner - Family

NPI 1013558881

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Christa Eickhoff , MD

Internal Medicine - Infectious Disease

NPI 1033471743

Doctor of Medicine (M.D.)

Adam Purcell , APRN, CNP

Nurse Practitioner - Adult Health

NPI 1215366380

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Krishna Kolandaivel , MD

Internal Medicine - Hematology & Oncology

NPI 1255675492

Doctor of Medicine (M.D.)

Rachel Vopatek , APRN, CNP

Nurse Practitioner - Family

NPI 1316610009

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Jessica Hinkley , FNP

Nurse Practitioner - Family

NPI 1326230210

Family Nurse Practitioner

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active June 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 07, 2017

Registered at 2024 S 6TH ST, BRAINERD, MN 564014529 (Tel: 2188287101)

📍

Updated Business Mailing Address June 07, 2017

Registered at 1702 UNIVERSITY DR S, FARGO, ND 581034940 (Tel: (701) 364-8000)

👤

Provider Name / Credentials Updated June 07, 2017

Recorded as MARK HIGHTOWER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2017

Surgery (License #61942 in MN)

✅

NPI Profile Active July 18, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location July 18, 2012

Registered at 501 N COLUMBIA RD, STOP 9037, DEPT OF SURGERY RM 5107,UNIVERSITY OF NORTH DAKOTA SMHS, GRAND FORKS, ND 582029037 (Tel: 7017773067)

📍

Updated Business Mailing Address July 18, 2012

Registered at 501 N COLUMBIA RD, STOP 9037 SMHS RM 5107,, UNIVERSITY OF NORTH DAKOTA DEPARTMENT OF SURGERY, GRAND FORKS, ND 582029037 (Tel: 7017773067)

👤

Provider Name / Credentials Updated July 18, 2012

Recorded as MARK HIGHTOWER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2012

Surgery (License #TRL 12403 in ND)

🟢

Initial NPI Registration & Enumeration July 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982959664

Entity Type:

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

Enumeration Date: July 18, 2012

Last Update: July 21, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1702 University Dr S

Fargo, ND 581034940

Phone: 7013648000

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.