Active NPI 1538157359 Individual Practitioner Male Practitioner

Dr. Mark E Coggins , MD

Orthopaedic Surgery • Roanoke, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Mark Coggins, MD is a certified Orthopaedic Surgery practicing in Roanoke, VA. With approximately 39 years of clinical experience since graduating from Jc Edwards School Of Medicine, Marshall University in 1987, Dr. Coggins delivers high-quality medical care to the local community at 2331 FRANKLIN RD SW.

Dr. Coggins maintains professional affiliations with Oandw Enterprises, Carilion Medical Center, Carilion Healthcare Corporation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2331 Franklin Rd Sw

Roanoke, VA 240141111

Telephone 5405106200

Fax 5408575306

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1851621130

Medicare Profile & Education

Medical School

Jc Edwards School Of Medicine, Marshall University

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Roanoke, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +24.8 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

36 Specialists

Practicing in Roanoke, VA (618 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Coggins (39 Years) 39 Yrs

Roanoke Specialty Average (14.2 Years) 14.2 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	177	137	$78.29	$63.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	155	147	$105.75	$89.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	95	95	$158.32	$129.00
99441 Telephone medical discussion with physician, 5-10 minutes	30	28	$103.03	$35.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$90.91	$80.63
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$3271.13	$938.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	137	$73.42	$62.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	134	$114.15	$93.64
99441 Telephone medical discussion with physician, 5-10 minutes	78	61	$59.54	$35.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$196.38	$131.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$130.73	$83.33
99442 Telephone medical discussion with physician, 11-20 minutes	36	34	$98.06	$67.08
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	11	$507.00	$202.02
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	18	$2446.93	$870.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	185	147	$74.46	$69.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	167	144	$112.95	$101.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	85	85	$179.78	$135.00
99441 Telephone medical discussion with physician, 5-10 minutes	70	59	$57.00	$38.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$115.43	$87.75
99442 Telephone medical discussion with physician, 11-20 minutes	29	28	$95.00	$72.00
72100 X-ray of lower and sacral spine, 2-3 views	18	16	$76.56	$39.51

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	180	159	$107.91	$102.20
99213 Established patient office or other outpatient visit, typically 15 minutes	156	128	$77.67	$70.74
99441 Telephone medical discussion with physician, 5-10 minutes	106	90	$57.00	$37.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$167.50	$139.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$108.31	$83.81
99442 Telephone medical discussion with physician, 11-20 minutes	44	42	$95.00	$71.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	198	$103.00	$52.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	152	$159.00	$80.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$154.00	$77.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	59	$63.00	$26.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	52	22	$80.00	$39.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	29	$276.00	$140.55
20610 Aspiration and/or injection of fluid from large joint	19	15	$115.00	$51.25
22633 Fusion of spine in lower back with partial removal of spine bone and disc	11	11	$3810.00	$1910.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	318	226	$145.00	$51.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	222	205	$213.00	$79.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$215.00	$76.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	70	$87.00	$25.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$273.00	$137.49
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	16	$86.00	$39.54
63048 Partial removal of spine bone with release of spinal cord and/or nerves	28	17	$419.00	$217.44
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$2228.00	$882.30
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	16	16	$1958.00	$870.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$327.00	$129.61
20610 Aspiration and/or injection of fluid from large joint	14	11	$151.00	$50.18
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$1506.00	$782.53
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	14	$3728.00	$1899.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	226	$145.00	$51.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	172	172	$215.00	$76.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	145	$213.00	$78.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	121	92	$87.00	$25.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	37	$86.00	$39.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	51	$273.00	$135.97
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	26	26	$1958.00	$1083.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$327.00	$128.43
22633 Fusion of spine in lower back with partial removal of spine bone and disc	22	21	$3728.00	$1872.99
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	21	17	$533.00	$253.94
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	12	$419.00	$214.70
22840 Placement of stabilizing device to back of 1 spine bone in neck	19	19	$1506.00	$772.19
20610 Aspiration and/or injection of fluid from large joint	18	16	$151.00	$50.42
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	13	13	$2228.00	$812.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	346	258	$145.20	$50.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	209	209	$215.00	$75.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	149	$213.00	$77.71
99231 Follow-up hospital inpatient care per day, typically 15 minutes	101	48	$86.00	$38.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	69	$87.00	$25.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	41	$273.00	$134.25
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	32	26	$533.00	$254.10
20610 Aspiration and/or injection of fluid from large joint	28	24	$151.00	$48.74
22633 Fusion of spine in lower back with partial removal of spine bone and disc	27	27	$3728.00	$1763.45
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$202.00	$100.06
20937 Harvest of bone fragment for spine bone graft	23	23	$350.00	$161.51
63048 Partial removal of spine bone with release of spinal cord and/or nerves	20	13	$419.00	$202.10
22840 Placement of stabilizing device to back of 1 spine bone in neck	20	20	$1506.00	$727.20
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	19	$1958.00	$894.31
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	17	$2228.00	$714.09
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$1513.00	$768.50
22612 Fusion of spine in lower back	11	11	$3206.00	$1297.76

Medical Specialties & State Licenses

CMS Verified: 2020-12-14

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License VA 0101251922

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License VA 0101251922

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1538157359 (VA)

Hospital & Practice Group Affiliations

Carilion Healthcare Corporation

2900 Lamb Cir, Christiansburg, VA 240736345

Phone: 5407312000

Oandw Enterprises

935 Fairystone Park Hwy, Stanleytown, VA 241683014

Phone: 8887240268

Carilion Medical Center

2331 Franklin Rd Sw, Roanoke, VA 240141111

Phone: 5402245170

Secondary Practice Locations

2509 Pleasant Run Dr

Rockingham, VA 228018720

Phone: 5406894500

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

Kelly Kugach

Podiatrist - Foot & Ankle Surgery

NPI 1003445594

Dr. Peter Apel , MD, PhD

Orthopaedic Surgery - Hand Surgery

NPI 1013178052

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Kathryn Hoyt

Physician Assistant - Surgical

NPI 1013454776

Jason Peery , PA-C

Physician Assistant - Surgical

NPI 1023209368

Physician Assistant (Certified)

Dr. Ryan Putnam , MD

Orthopaedic Surgery

NPI 1043369853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location December 14, 2020

Registered at 2331 FRANKLIN RD SW, ROANOKE, VA 240141111 (Tel: 5405106200)

📍

Updated Business Mailing Address December 14, 2020

Registered at 213 S JEFFERSON ST STE 625, ROANOKE, VA 240111713 (Tel: 5402245516)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2020

Orthopaedic Surgery (License #0101251922 in VA)

📍

Updated Practice Location October 03, 2019

Registered at 2509 PLEASANT RUN DR, ROCKINGHAM, VA 228018720 (Tel: 5406894500)

✅

NPI Profile Active January 17, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 17, 2014

Registered at 1790 E MARKET ST STE 64B, HARRISONBURG, VA 228015197 (Tel: 5406894500)

📍

Updated Business Mailing Address January 17, 2014

Registered at PO BOX 1430, HARRISONBURG, VA 228031430 (Tel: 5405647094)

👤

Provider Name / Credentials Updated January 17, 2014

Recorded as MARK COGGINS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2014

Orthopaedic Surgery (License #0101251922 in VA)

🟢

Initial NPI Registration & Enumeration October 06, 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: 1538157359

Entity Type:

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

Enumeration Date: October 06, 2005

Last Update: December 14, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 S Jefferson St Ste 625

Roanoke, VA 240111713

Phone: 5402245516

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.