Mark H. Middleton, MD
NPI 1710977202ActiveIndividual· Surgery· Athens, GA
Surgery (MD) in Athens, Georgia, trained at University of Alabama School of Medicine (class of 1996). Mostly services rather than prescriptions: Medicare paid $19,699 for 69 patients in 2024, with only 18 Part D claims.
Overview
| NPI | 1710977202 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 26, 2005 |
| Last updated in NPPES | Oct 1, 2026 |
| Certified by provider | Oct 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 55154 | GA |
| Surgery | 208600000X | 04-48942 | KS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Critical Care (Intensivists) (AL); Practitioner - General Surgery (CO); Practitioner - General Surgery (GA); Practitioner - General Surgery (ME); Practitioner - General Surgery (NE) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 127 across 38 procedure codes |
| Paid by Medicare | $19,699 |
Part D prescriptions in 2024
| Prescriptions (claims) | 18 · 18 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $201.39 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | University of Alabama School of Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | General Surgery |
Medical groups
- Eastern Maine Medical CenterBangor, ME · 624 clinicians
- Chi Health Clinic Specialty LLCNorth Platte, NE · 320 clinicians
- Banner Health Physicians Colorado LLCGreeley, CO · 261 clinicians
Hospital affiliations
- Chi Health St. FrancisGrand Island, NE
- Northern Light Eastern Maine Medical CenterBangor, ME
- University of Kansas Health System - St Francis CampusTopeka, KS
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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