Dr. Mark K Addison , MD
Specialist • Cullman, AL
1800 Al Highway 157 Ste 101
Cullman, AL 350581273
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on November 16, 2005; this date does not establish years in practice.
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Published CMS data list 126 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 36415 — Insertion of needle into vein for collection of blood sample: 38 service units.
- 99214 — Established patient outpatient office visit: 30 service units.
- G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit: 18 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 6 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,075 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Metformin Hcl — 89 prescription fills, including refills.
- Levothyroxine Sodium — 62 prescription fills, including refills.
- Lisinopril — 54 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 42 records in the table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 296 in 2019 to 126 in 2023.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019–2023.
Practice Location & Contact Primary Location
1800 Al Highway 157 Ste 101
Cullman, AL 350581273
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Cullman, AL. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Specialist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $7,321 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
Paid by Medicare
About $4,847 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2023.
30-day fills
2,276 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$109,067 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.
Open Payments general payments, program year 2023
All general payments: $39.98 across 3 records.
By nature of payment
- Food and Beverage: $39.98 across 3 records.
Reporting-company totals
- ABBVIE INC.: $20.26 across 1 record.
- Exact Sciences Corporation: $15.37 across 1 record.
- Corium, LLC: $4.35 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).
NPI first issued
2005
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Addison has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Addison as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Cullman and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Addison are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Addison are from 2023.
70 active clinicians are listed under Specialist with a practice address in Cullman, AL (545 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Cullman
0% of these 70 clinicians have the CMS telehealth indicator.
5.7% of these 70 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 57% from 296 in 2019 to 126 in 2023.
- 2019: 296
- 2020: 187
- 2021: 275
- 2022: 318
- 2023: 126
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Medicare-allowed amount
Medicare-allowed amount decreased 67% from $22,412 in 2019 to $7,321 in 2023.
- 2019: $22,412
- 2020: $11,293
- 2021: $16,239
- 2022: $16,391
- 2023: $7,321
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Paid by Medicare
Paid by Medicare decreased 71% from $16,985 in 2019 to $4,847 in 2023.
- 2019: $16,985
- 2020: $8,242
- 2021: $13,569
- 2022: $12,613
- 2023: $4,847
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 26% from 1,451 in 2019 to 1,075 in 2023.
- 2019: 1,451
- 2020: 1,769
- 2021: 1,779
- 2022: 1,684
- 2023: 1,075
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30-day fills
30-day fills decreased 21% from 2,875 in 2019 to 2,276 in 2023.
- 2019: 2,875
- 2020: 3,317
- 2021: 3,551
- 2022: 3,491
- 2023: 2,276
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Part D drug cost
Part D drug cost increased 96% from $55,788 in 2019 to $109,067 in 2023.
- 2019: $55,788
- 2020: $187,167
- 2021: $171,424
- 2022: $134,790
- 2023: $109,067
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 98% from $2,216.07 in 2019 to $39.98 in 2023.
- 2019: $2,216.07
- 2020: $46.39
- 2021: $141.73
- 2022: $267.56
- 2023: $39.98
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $39.98.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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QULIPTA | General | $20.26 |
| Exact Sciences Corporation |
Food and Beverage
In-kind items and services
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Cologuard Collection Kit | General | $15.37 |
| Corium, LLC |
Food and Beverage
In-kind items and services
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Azstarys | General | $4.35 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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36415
Insertion of needle into vein for collection of blood sample
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38 | 33 | $10.00 | $7.96 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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30 | 23 | $161.67 | $116.07 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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18 | 18 | $185.00 | $114.62 |
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G0442
Annual alcohol misuse screening, 5 to 15 minutes
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14 | 14 | $30.00 | $16.72 |
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G0444
Annual depression screening, 5 to 15 minutes
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14 | 14 | $30.00 | $16.72 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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12 | 11 | $117.08 | $83.77 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Metformin Hcl | Metformin Hcl | 89 | 5,970 | $698.28 | 29 |
| Levothyroxine Sodium | Levothyroxine Sodium | 62 | 4,535 | $1,195.93 | 20 |
| Lisinopril | Lisinopril | 54 | 4,695 | $436.57 | 20 |
| Furosemide | Furosemide | 49 | 3,070 | $318.55 | 15 |
| Chlorthalidone | Chlorthalidone | 43 | 2,430 | $1,034.48 | 13 |
| Metoprolol Tartrate | Metoprolol Tartrate | 35 | 2,747 | $750.79 | — |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 35 | 829 | $461.03 | 11 |
| Omeprazole | Omeprazole | 35 | 2,990 | $774.78 | 13 |
| Gabapentin | Gabapentin | 32 | 1,320 | $291.01 | — |
| Carvedilol | Carvedilol | 31 | 1,710 | $308.23 | — |
| Ozempic | Semaglutide | 29 | 930 | $30,529.60 | — |
| Allopurinol | Allopurinol | 28 | 2,130 | $615.74 | — |
| Sertraline Hcl | Sertraline Hcl | 28 | 2,089 | $470.14 | — |
| Meloxicam | Meloxicam | 26 | 1,311 | $282.55 | — |
| Pantoprazole Sodium | Pantoprazole Sodium | 26 | 1,920 | $588.54 | 12 |
| Enalapril Maleate | Enalapril Maleate | 25 | 1,717 | $1,034.71 | — |
| Amitriptyline Hcl | Amitriptyline Hcl | 24 | 1,400 | $408.12 | — |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 24 | 1,920 | $525.22 | — |
| Aripiprazole | Aripiprazole | 23 | 811 | $2,425.03 | — |
| Losartan Potassium | Losartan Potassium | 22 | 1,740 | $340.62 | — |
| Eliquis | Apixaban | 21 | 630 | $10,235.86 | — |
| Tramadol Hcl | Tramadol Hcl | 20 | 535 | $253.00 | — |
| Potassium Chloride | Potassium Chloride | 20 | 1,440 | $590.19 | — |
| Candesartan Cilexetil | Candesartan Cilexetil | 20 | 1,050 | $1,370.48 | — |
| Simvastatin | Simvastatin | 19 | 1,170 | $187.38 | — |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-12-22NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PEDIATRIC MEDICINE
I20060310000584
AL
3274540570
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
1948 Al Highway 157, Suite 330
Cullman, AL 350580643
Phone: 2567393838
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Dietitian, Registered
Registered Dietitian Nutritionist
Nurse Practitioner
NURSEPRACTITIONER
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1800 AL HIGHWAY 157 STE 101, CULLMAN, AL 350581273 (Tel: 2567394131)
Registered at 503 CLARK ST NE, CULLMAN, AL 350551921 (Tel: 2567390801)
NPI status registered as active in NPPES database
Registered at 1948 AL HIGHWAY 157, SUITE 330, CULLMAN, AL 350580643 (Tel: 2567393838)
Registered at 1948 AL HIGHWAY 157, SUITE 330, CULLMAN, AL 350580643 (Tel: 2567393838)
Recorded as MARK ADDISON, M.D.
Specialist (license number reported to NPPES: AL 13608)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Specialists in Cullman
All Specialists in CullmanMailing Address
503 Clark St Ne
Cullman, AL 350551921
Phone: 2567390801