Kingsport Endoscopy Corporation
NPI 1578558078 · Ambulatory Surgical Clinic/Center · Kingsport, TN
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kingsport Endoscopy Corporation is a Ambulatory Surgical Clinic/Center organization in Kingsport, TN (NPI 1578558078).
Provider details
- NPI number
- 1578558078
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Bartley, Chief Administrative Officer(423) 246-6777
- License
- 0000000055 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,551 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 388 | $531 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 328 | $291 |
| Dilation of Esophagus43450 | 262 | $398 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 217 | $435 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 117 | $411 |
| Diagnostic Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope |
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-09-12
- Last updated
- 2009-05-04
Frequently asked questions
- What is Kingsport Endoscopy Corporation's NPI number?
- Kingsport Endoscopy Corporation's National Provider Identifier (NPI) is 1578558078, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kingsport Endoscopy Corporation?
- Kingsport Endoscopy Corporation is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kingsport Endoscopy Corporation located?
- Kingsport Endoscopy Corporation's practice location on file with NPPES is 135 W Ravine Rd, Kingsport, TN 37660-3847.
- What is Kingsport Endoscopy Corporation's phone number?
- The practice phone number listed in the NPPES registry for Kingsport Endoscopy Corporation is (423) 246-6777.
- Does Kingsport Endoscopy Corporation accept Medicare?
- Kingsport Endoscopy Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kingsport Endoscopy Corporation?
- The authorized official listed on Kingsport Endoscopy Corporation's NPPES record is Mark Bartley, Chief Administrative Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kingsport Endoscopy Corporation's NPI active?
- Yes — Kingsport Endoscopy Corporation's NPI (1578558078) is active in the NPPES registry as of the last update on 2009-05-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.