MR. MARK A RISEN DPM NPI 1174571004

NPI Information

  • NPI: 1174571004
  • Provider Name: MR. MARK A RISEN, DPM
  • Classification: Podiatrist - 213EP1101X
  • Specialization: Primary Podiatric Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1003 OLD GREENSBURG RD
    CAMPBELLSVILLE, KY
    ZIP 42718
  • Phone: (270) 433-5806

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NPI Details

MR. Mark A Risen, DPM is a primary podiatric medicine podiatrist in Campbellsville, KY with 32 years of experience. MR. Mark A Risen, DPM NPI is 1174571004. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF PHYSICIANS AND SURGEONS (IOWA)
Graduation Year:1993

The provider's business location address is:

1003 OLD GREENSBURG RD
CAMPBELLSVILLE, KY
ZIP 42718-571
Phone: (270) 433-5806
Fax: (270) 433-2443

The NPI 1174571004 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection into tendon or ligament (HCPCS:20550)
  • Placement of strapping to ankle or foot (HCPCS:29540)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Simple or single drainage of skin abscess (HCPCS:10060)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Injection of anesthetic agent and/or steroid into other nerve or branch (HCPCS:64450)
  • Complicated or multiple drainage of skin abscess (HCPCS:10061)
  • Complete ultrasound study of arm and leg arteries (HCPCS:93923)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)

The enumeration date for this NPI number is 5/4/2006 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist00216KENTUCKYNo
2213EP1101XPodiatristPrimary Podiatric Medicine00216KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
180002165MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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