Mark Pilkinton, M.D.
NPI 1184868481 · Infectious Disease Physician · Nashville, TN
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Pilkinton, M.D. is a Infectious Disease Physician provider in Nashville, TN (NPI 1184868481).
Provider details
- NPI number
- 1184868481
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 50104 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
831 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 291 | $109 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 243 | $73 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 107 | $105 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 84 | $159 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 48 | $89 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 16 | 16 |
| Pantoprazole Sodium | 16 | 12 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 13 | 13 |
| Cephalexin | 11 | 11 |
| Apixabanbrand: Eliquis | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 4220 Harding PikeNashville, TN 37205-2005Phone: (615) 222-6977Fax: (615) 222-5322
Registry dates
- Enumerated
- 2009-04-30
- Last updated
- 2019-02-28
Frequently asked questions
- What is Mark Pilkinton's NPI number?
- Mark Pilkinton's National Provider Identifier (NPI) is 1184868481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Pilkinton's specialty?
- Mark Pilkinton is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Pilkinton located?
- Mark Pilkinton's practice location on file with NPPES is 1161 21st Ave S, Nashville, TN 37232.
- What is Mark Pilkinton's phone number?
- The practice phone number listed in the NPPES registry for Mark Pilkinton is (615) 322-2035.
- Does Mark Pilkinton accept Medicare?
- Mark Pilkinton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Pilkinton's NPI active?
- Yes — Mark Pilkinton's NPI (1184868481) is active in the NPPES registry as of the last update on 2019-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.