Mark Wallingford, MD
NPI 1205919875 · Internal Medicine Physician · Maysville, KY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Wallingford, MD is a Internal Medicine Physician provider in Maysville, KY (NPI 1205919875).
Provider details
- NPI number
- 1205919875
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 24430 (KY)
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 tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,095 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 805 | $115 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 457 | $9 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 425 | $15 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 144 | $13 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 110 | $117 |
| Administration of Influenza Virus Vaccine |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 161 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 635 | 186 |
| Lisinopril | 507 | 145 |
| Levothyroxine Sodium | 490 | 131 |
| Rosuvastatin Calcium | 465 | 134 |
| Omeprazole | 405 | 129 |
| Amlodipine Besylate | 365 | 116 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$57 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-24
- Last updated
- 2017-01-30
Frequently asked questions
- What is Mark Wallingford's NPI number?
- Mark Wallingford's National Provider Identifier (NPI) is 1205919875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Wallingford's specialty?
- Mark Wallingford is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Wallingford located?
- Mark Wallingford's practice location on file with NPPES is 2009 Old Main Street, Maysville, KY 41056.
- What is Mark Wallingford's phone number?
- The practice phone number listed in the NPPES registry for Mark Wallingford is (606) 759-7615.
- Does Mark Wallingford accept Medicare?
- Mark Wallingford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Wallingford's NPI active?
- Yes — Mark Wallingford's NPI (1205919875) is active in the NPPES registry as of the last update on 2017-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.