Individual provider

Mark Risen, DPM

Primary Podiatric Medicine Podiatrist Podiatrist Medicare enrolled

Mark Risen, DPM is a provider specialising in Primary Podiatric Medicine Podiatrist in Campbellsville, KY, registered under NPI 1174571004. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1003 OLD GREENSBURG RD, Campbellsville, KY 42718. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1003 OLD GREENSBURG RD, Campbellsville, KY 42718 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
00216 KY Primary Podiatric Medicine Podiatrist primary
00216 KY Podiatrist

This provider holds licence 00216 issued in KY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Podiatry
PAC ID
3577456110
Enrollment ID
I20040206000061

Medicare enrolment is recorded as approved under the provider type Practitioner - Podiatry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Primary Podiatric Medicine covers

Definition to come... NUCC Health Care Provider Taxonomy, code 213EP1101X
Podiatric Medicine & Surgery Service Providers Podiatrist Primary Podiatric Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
213EP1101X Primary Podiatric Medicine Podiatrist Primary Podiatric Medicine 00216 KY primary
213E00000X Podiatrist 00216 KY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174571004 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 4, 2006
Last updatedJul 10, 2025
StatusActive
Sole proprietorNo
CredentialDPM
Practice address 1003 OLD GREENSBURG RD
Campbellsville, KY 42718
(270) 433-5806
Fax (270) 433-2443
Mailing address PO BOX 645996
Cincinnati, OH 45264
Other identifiers 80002165 · Medicaid (KY)
This record was updated on Jul 10, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1174571004 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 5 7 1 0 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 1 7 2 0 0

Sum = 46 · next multiple of 10 = 50 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174571004?
NPI 1174571004 is the National Provider Identifier assigned to Mark Risen, DPM in Campbellsville, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Primary Podiatric Medicine cover?
Definition to come...
How do I contact Mark Risen, DPM?
The phone number on file with NPPES is (270) 433-5806, last updated Jul 10, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Mark Risen, DPM accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174571004 a valid number?
Yes. 1174571004 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.