Active NPI 1508869561 Individual Practitioner Male Practitioner

Dr. Mark Blair , MD

Surgery • Tullahoma, TN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Blair, MD is a certified Surgery practicing in Tullahoma, TN. With approximately 32 years of clinical experience since graduating from Indiana University School Of Medicine in 1994, Dr. Blair delivers high-quality medical care to the local community at 100 WILLIAM NORTHERN BLVD.

Dr. Blair accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

100 William Northern Blvd

Tullahoma, TN 373884754

Telephone 9314611150

Fax 8884983372

Associated Practice Facility / Clinic

🏢 Mark Blair Md Pc Facility NPI 1972590172

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Tullahoma, TN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -5.0 yrs vs City Avg

City Avg: 37.0 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

4 Specialists

Practicing in Tullahoma, TN (682 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Blair (32 Years) 32 Yrs

Tullahoma Specialty Average (37.0 Years) 37.0 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	119	119	$135.00	$100.30
45380 Biopsy of large bowel using an endoscope	48	48	$750.00	$157.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	44	$150.00	$117.81
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$90.00	$82.81
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	34	34	$600.00	$84.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	24	$60.00	$51.28
43249 Balloon dilation of esophagus using an endoscope	14	13	$650.00	$128.04
10005 Fine needle aspiration of first lesion using ultrasound guidance	14	13	$475.00	$120.98

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	118	118	$135.00	$102.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	72	$149.81	$118.31
45380 Biopsy of large bowel using an endoscope	50	50	$750.00	$165.74
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	46	46	$600.00	$91.93
99213 Established patient office or other outpatient visit, typically 15 minutes	45	35	$90.00	$83.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	20	$60.00	$51.89
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$800.00	$206.21
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$1250.00	$301.12
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$125.00	$16.64
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$725.00	$167.32

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	74	70	$149.80	$118.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$135.00	$103.06
45380 Biopsy of large bowel using an endoscope	43	43	$750.00	$174.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	40	39	$600.00	$87.79
99213 Established patient office or other outpatient visit, typically 15 minutes	26	20	$90.00	$82.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$63.50	$50.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$800.00	$195.58

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	105	100	$134.29	$120.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	64	26	$70.00	$36.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	64	63	$600.00	$86.59
45380 Biopsy of large bowel using an endoscope	44	44	$750.00	$179.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$135.00	$105.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$175.00	$158.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	22	$60.00	$52.67
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$90.00	$85.98
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$125.00	$94.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$150.00	$121.54
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$725.00	$174.64
43249 Balloon dilation of esophagus using an endoscope	13	13	$650.00	$117.00
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$125.00	$17.68
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	12	12	$800.00	$214.19
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$1250.00	$307.24

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	122	109	$125.00	$102.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$135.00	$99.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	48	$600.00	$99.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	18	$60.00	$43.01
45380 Biopsy of large bowel using an endoscope	39	39	$750.00	$196.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	30	12	$70.00	$36.89
99221 Initial hospital inpatient care per day, typically 30 minutes	18	17	$125.00	$97.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$150.00	$127.17
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2500.00	$657.25
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$725.00	$181.74

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	165	138	$125.00	$101.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	83	28	$70.00	$37.37
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	81	80	$600.00	$96.32
45380 Biopsy of large bowel using an endoscope	67	65	$750.00	$180.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$135.00	$96.64
99221 Initial hospital inpatient care per day, typically 30 minutes	32	31	$125.00	$93.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	19	$60.00	$41.86
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$800.00	$219.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$175.00	$154.32
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$725.00	$177.49
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$2500.00	$667.60

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	181	151	$125.00	$97.56
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	88	83	$600.00	$92.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	30	$70.00	$36.25
45380 Biopsy of large bowel using an endoscope	70	70	$750.00	$176.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$135.00	$95.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	21	$60.00	$39.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$150.00	$126.12
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$125.00	$93.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$175.00	$145.95
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$800.00	$205.30
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	16	16	$2500.00	$644.56
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$125.00	$17.33
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$725.00	$172.11

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	189	148	$125.00	$100.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	152	48	$70.00	$37.17
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	103	99	$600.00	$100.19
45380 Biopsy of large bowel using an endoscope	72	72	$750.00	$185.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$135.92	$99.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	44	42	$150.00	$129.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	28	$60.00	$40.32
99221 Initial hospital inpatient care per day, typically 30 minutes	34	32	$125.00	$95.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$175.00	$153.14
45378 Diagnostic exam of large bowel using a flexible endoscope	15	14	$700.00	$178.19
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$725.00	$177.10

Medical Specialties & State Licenses

CMS Verified: 2023-02-15

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License TN MD34454

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

3856436 (TN)

Commercial Insurance / Payer ID Ind Rrmcr #

020053847 (TN)

Commercial Insurance / Payer ID Cigna Healthcare

7201687 (TN)

Commercial Insurance / Payer ID Bcbs Of Tn

4043202 (TN)

Practice Associates & Co-Workers

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

9 Associated Practitioners

Tara Tye , NP-C

Nurse Practitioner - Family

NPI 1093340630

Nurse Practitioner (Certified)

Jennifer Tallman , NP-C

Nurse Practitioner - Family

NPI 1295268654

Nurse Practitioner (Certified)

Larry Arnold

Nurse Practitioner - Primary Care

NPI 1447069349

Dr. Donald Tucker , MD

Internal Medicine

NPI 1487695904

Doctor of Medicine (M.D.)

Susan Warner-Oberwortmann , APN

Nurse Practitioner

NPI 1528164688

Advanced Practice Nurse

Dr. John Patsimas , MD

Family Medicine

NPI 1649376849

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 February 15, 2023

Registered at 100 WILLIAM NORTHERN BLVD, TULLAHOMA, TN 373884754 (Tel: 9314611150)

📍

Updated Business Mailing Address February 15, 2023

Registered at PO BOX 910, TULLAHOMA, TN 373880910 (Tel: 9314611150)

✅

NPI Profile Active November 08, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 08, 2013

Registered at 1750 CEDAR LN, STE 100, TULLAHOMA, TN 373884760 (Tel: 9314611150)

📍

Updated Business Mailing Address November 08, 2013

Registered at PO BOX 910, 1750 CEDAR LANE SUITE 100, TULLAHOMA, TN 373880910 (Tel: 9314611150)

👤

Provider Name / Credentials Updated November 08, 2013

Recorded as MARK BLAIR, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2013

Surgery (License #MD34454 in TN)

🟢

Initial NPI Registration & Enumeration May 24, 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: 1508869561

Entity Type:

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

Enumeration Date: May 24, 2005

Last Update: February 15, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 910

Tullahoma, TN 373880910

Phone: 9314611150

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.