Dr Mark H Middleton, MD - Medicare General Surgery in Athens, GA

Dr Mark H Middleton, MD is a medicare enrolled "Surgery" physician in Athens, Georgia. He graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Topeka Physician Group Llc, Chi Health Clinic Specialty Llc, Eastern Maine Medical Center and his current practice location is 1199 Prince Ave, Athens, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 475-5076.

Dr Mark H Middleton is licensed to practice in Georgia (license number 55154) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1710977202.

Contact Information

Dr Mark H Middleton, MD
1199 Prince Ave,
Athens, GA 30606-2797
(706) 475-5076
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark H Middleton
GenderMale
SpecialityGeneral Surgery
Experience33 Years
Location1199 Prince Ave, Athens, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark H Middleton graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1710977202
  • Provider Enumeration Date: 10/26/2005
  • Last Update Date: 02/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6608838230
  • Enrollment ID: I20240220002837

Medical Identifiers

Medical identifiers for Dr Mark H Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710977202NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 04-48942 (Kansas)Secondary
208600000XSurgery 55154 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern Maine Medical CenterBangor, MEHospital
University Of Kansas Health System - St Francis CampusTopeka, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Topeka Physician Group Llc6406112473148
Chi Health Clinic Specialty Llc4789098443251
Eastern Maine Medical Center2062315161596

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark H Middleton allows following entities to bill medicare on his behalf.
Entity NameCotton O'neil Clinic Revocable Trust
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811944457
PECOS PAC ID: 5496659195
Enrollment ID: O20031124000674
Entity NameTopeka Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770008849
PECOS PAC ID: 6406112473
Enrollment ID: O20171107002163

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark H Middleton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark H Middleton, MD
Po Box 100460,
Atlanta, GA 30384-0460

Ph: (770) 410-4661
Dr Mark H Middleton, MD
1199 Prince Ave,
Athens, GA 30606-2797

Ph: (706) 475-5076

Reviews and Comments


Surgery Doctors in Athens, GA

Dr. Thomas H Hawk Jr., M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 740 Prince Ave, Building 8a, Athens, GA 30606
Phone: 706-353-1630    Fax: 706-543-6825
Ashlee R Kimbrell, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1010 Prince Ave Ste 100, Athens, GA 30606
Phone: 706-425-1420    
Dr. Mohammed Hisham Obeidin, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 1010 Prince Ave Ste 400, Athens, GA 30606
Phone: 706-425-1400    Fax: 706-548-0184
Mrs. Laura Ashley Ray, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 658 N. Chase Street, Ste 201, Athens, GA 30607
Phone: 706-353-2990    Fax: 706-353-2992
Ryan M Katz, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Oglethorpe Ave Ste 2000, Athens, GA 30606
Phone: 706-548-5488    Fax: 706-548-0016
Cara Hudson, DO
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 242 King Ave, Ste 130, Athens, GA 30606
Phone: 706-475-7110    
Cullen D Morris, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1199 Prince Ave, Medical Services Building, 2nd Floor, Athens, GA 30606
Phone: 706-475-1950    Fax: 706-475-1955

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.