Mark Grogan Tusa, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

M8395 Issued in TX

Practice address

409 W Adams Ave
Temple, TX 76501-4211

Phone

(254) 742-3775

NPI assigned

Jan 20, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Chicago College of Medicine and Surgery, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chattanooga Skin and Cancer ClinicGroup PAC ID 9032386354, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score

94.27 of 100Reported as apm

Quality

92.6

Promoting interoperability

93.23

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chattanooga Skin & Cancer Clinic

  • Dermatology Physician
  • Chattanooga, TN
  • NPI 1447343694
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Health Care System Inc.

  dba Memorial Hospital Hixson

  • General Acute Care Hospital
  • Hixson, TN
  • NPI 1083778633
  Care Compare affiliation
• Memorial Health Care System Inc.

  dba Memorial Hospital

  • General Acute Care Hospital
  • Chattanooga, TN
  • NPI 1255428736
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1033395074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014211",
            "telephone_number": "254-742-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014211",
            "telephone_number": "254-742-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUSA",
        "first_name": "MARK",
        "middle_name": "GROGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-20",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M8395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger D. Tuggle, M.D.
• Syona Tuladhar, DO
• Ty Lowell Tulloch, LPC, LSOTP
• Susan A. Turner
• Tiffany Michelle Turner, PAC
• Tutor and Ellis PCH
• Tutor Nursing Home, Inc.
• Gabriela Tuttrup
• Noah Tyner, LPC
• Janice S. Tyroch, CNS

• Dermatology Physician in Temple, TX
• Providers in Temple, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.