Active NPI
Mark A Risen, DPM
- Primary Podiatric Medicine Podiatrist
- Campbellsville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Podiatric Medicine Podiatrist
- License
- 00216
- Practice address
- 1003 Old Greensburg Rd
Campbellsville, KY 42718-2571 - Phone
- (270) 433-5806
- Fax
- (270) 433-2443
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00216 | KY | |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 00216 | KY | Primary |
Addresses
Primary practice location
1003 Old Greensburg Rd
Campbellsville, KY 42718-2571
Mailing address
PO Box 645996
Cincinnati, OH 45264-5996
Phone (270) 651-4444
Other practice location 1
138 Campbellsville Byp
Campbellsville, KY 42718-8843
Phone (270) 433-5806
Other practice location 2
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-6791
Other practice location 3
810 Jamestown St
Columbia, KY 42728-1010
Phone (270) 384-4764
Other practice location 4
1301 N Race St
Glasgow, KY 42141-3483
Phone (270) 651-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80002165 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- College of Physicians and Surgeons (Iowa), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- T J Health Columbia IncAdair County Hospital District
Practice addresses (Care Compare)
1003 Old Greensburg Rd
Campbellsville, KY 42718-2571
Phone (270) 789-4342
310 N L Rogers Wells Blvd
Glasgow, KY 42141-1300
Phone (270) 651-1111
810 Jamestown St
Columbia, KY 42728-1010
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.15 of 100
- Quality
- 73.65
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.9 of 100
- Quality
- 85.93
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 124 |
| Removal of skin lesions | 15 |
| Removal of nail tissue | 586 |
| Removal or shaving of skin growth | 56 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00216 | KY | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Podiatrist | Current | Accepting new patients |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Health Columbia Inc | Current | Accepting new patients | |
| T J Samson Community Hospital | Current | Accepting new patients | |
| Mark a Risen, DPM, | Podiatrist | Current | Accepting new patients |
| T J Samson Community Hospital | Podiatrist | Current | Accepting new patients |
| T J Samson Community Hospital | Past | Accepting new patients |
Locations
138 Campbellsville Byp
Ste 4
Campbellsville, KY 42718
Phone (270) 789-4342
1003 Old Greensburg Rd
Campbellsvlle, KY 42718
Phone (270) 465-0060
810 Jamestown St
Columbia, KY 42728
Phone (270) 384-4764
901 Wellness Way
Columbia, KY 42728
Phone (270) 384-4753
310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111
1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141
1216A N Race St
Glasgow, KY 42141
Phone (270) 651-8348
Organizations & group practices 11
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.
-
- Podiatrist
- Campbellsville, KY
- NPI 1154346948
-
- Rural Health Clinic/Center
- Columbia, KY
- NPI 1942666466
-
- Rural Health Clinic/Center
- Tompkinsville, KY
- NPI 1336602838
-
- Rural Health Clinic/Center
- Russell Springs, KY
- NPI 1821454349
-
- Rural Health Clinic/Center
- Edmonton, KY
- NPI 1831555358
-
- Rural Health Clinic/Center
- Scottsville, KY
- NPI 1952953432
-
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1629429360
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Glasgow, KY
- NPI 1922343300
-
- Skilled Nursing Facility
- Glasgow, KY
- NPI 1760475925
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glasgow, KY
- NPI 1770581894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1174571004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645996",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452645996",
"telephone_number": "270-651-4444",
"fax_number": "270-651-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 OLD GREENSBURG RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427182571",
"telephone_number": "270-433-5806",
"fax_number": "270-433-2443"
}
],
"practiceLocations": [
{
"address_1": "138 Campbellsville Byp",
"address_purpose": "LOCATION",
"city": "Campbellsville",
"state": "KY",
"postal_code": "427188843",
"country_code": "US",
"telephone_number": "270-433-5806",
"fax_number": "270-433-2443",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "310 N L Rogers Wells Blvd",
"address_purpose": "LOCATION",
"city": "Glasgow",
"state": "KY",
"postal_code": "421411300",
"country_code": "US",
"telephone_number": "270-651-6791",
"fax_number": "270-659-5850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "810 Jamestown St",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "KY",
"postal_code": "427281010",
"country_code": "US",
"telephone_number": "270-384-4764",
"fax_number": "270-384-2828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 N Race St",
"address_purpose": "LOCATION",
"city": "Glasgow",
"state": "KY",
"postal_code": "421413483",
"country_code": "US",
"telephone_number": "270-651-4444",
"fax_number": "270-651-4892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RISEN",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "KY",
"license": "00216",
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "KY",
"license": "00216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80002165",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.