MARK HARTSFIELD DO
NPI 1265879878
Family Medicine in Centerville, TN
NPI Status: Active since May 23, 2013
Contact Information
150 E SWAN ST
CENTERVILLE, TN
ZIP 37033
Phone: (931) 729-3091
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About MARK HARTSFIELD
This page provides the complete NPI Profile along with additional information for Mark Hartsfield, a primary care provider established in Centerville, Tennessee with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1265879878 assigned on May 2013. The practitioner's primary taxonomy code is 207Q00000X with license number 2807 (TN). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1265879878
- Provider Name
- MARK HARTSFIELD DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 150 E SWAN ST CENTERVILLE, TN 37033
- Location Phone
- (931) 729-3091
- Mailing Address
- 501 GREAT CIRCLE RD STE 200 NASHVILLE, TN 37228
- Mailing Phone
- (615) 222-7576
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-23-2013
- Last Update Date
- 01-25-2017
- Code Navigator
A primary care provider (PCP) like Mark Hartsfield sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2807
- License State
- TN
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- AvMed Entrust Silver 350 Dental+Vision (2025) - HMO
- AvMed Entrust Silver 550 (2025) - HMO
- AvMed Entrust Silver 550 Dental+Vision (2025) - HMO
- AvMed Entrust Silver Standard (2025) - HMO
- Bronze 4 - HMO
- Bronze 8 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- Silver 9 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 103I083765 | MEDICARE PIN (08) | TN | |
| Q021260 | MEDICAID (05) | TN |
Medicare Participation & PECOS Enrollment Status
Mark Hartsfield is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of mild severity
Emergency department visit for problem of mild to moderate severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 15 times for 15 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 13 times for 12 patientsAn Emergency Department visit for a mild problem involves seeking immediate medical attention for non-life-threatening conditions. These can include minor injuries, fevers, or persistent discomfort. Medical professionals will assess your condition, provide treatment, and may suggest follow-up care.
This service was performed 18 times for 17 patientsAn emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
This service was performed 26 times for 25 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 46 times for 45 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 59 times for 44 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 37033 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.53
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $20.38
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 8 | 7 | 9 | 8 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 16 | 7 | 18 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 6 + 7 + 1 + 8 + 8 + 1 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1265879878 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 12 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1578527677 | JOHN THOMAS SEXTON M.D. Individual | Family Medicine | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1649442385 | SAMEENA WAHEED KHAN M.D Individual | Internal Medicine | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1518470590 | DONA MARIA BIGGS APRN FNP-C Individual | Nurse Practitioner (Family) | 150 E SWAN ST CENTERVILLE, TN 37033 (615) 466-0041 |
| 1134664303 | YVONNE DANTZLER-RANDOLPH NP Individual | Nurse Practitioner | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1164764189 | CASSIE LAUREL COLEMAN PHARMD Individual | Pharmacist | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-6798 |
| 1871557967 | ZACHARY MCVEY HUTCHENS M.D. Individual | Family Medicine | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1366474298 | DAWN A GLENN NP Individual | Nurse Practitioner (Family) | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1255541918 | MUHAMMAD MIRZA MBBS Individual | Family Medicine | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1871126482 | LORETTA PENTLICKI APRN, PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1740875855 | ANGELA MCCALLY FNP Individual | Nurse Practitioner | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1336839323 | COURTNEY YOCUM LCSW Individual | Social Worker (Clinical) | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
| 1639648512 | MRS. SAMANTHA LEA CLAUD FNP-BC Individual | Nurse Practitioner (Family) | 150 E SWAN ST CENTERVILLE, TN 37033 (931) 729-3091 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265879878, enumerated in the NPI registry as an "individual" on May 23, 2013
The provider is located at 150 E Swan St Centerville, Tn 37033 and the phone number is (931) 729-3091
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: AvMed, Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.53 with an average copayment of $20.38 for new patient appointments. Established patients should expect a typical charge of $93.6 and an average copayment of 23.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of mild severity, Emergency department visit for problem of mild to moderate severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.
This NPI record was last updated on May 23, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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