Individual provider Active NPI

Christian Tyler Marcum, DO

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1275196362
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05048 Issued in KY
Practice address
2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543
Phone
(859) 323-6371
Fax
(859) 257-3585
NPI assigned
Apr 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05048 KY Primary

Addresses

Primary practice location

2195 Harrodsburg Rd Ste 125
Lexington, KY 40504-3543

Mailing address

126 S Elm St
Pikeville, KY 41501-9019
Phone (606) 369-1651

Other practice location 1

535 N Lake Dr
Prestonsburg, KY 41653-1278
Phone (606) 886-8466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211129002705 KY Practitioner - Family PracticePractitioner - Orthopedic Surgery 9234529678 Reassigns benefits to 5 organizations
I20240916001554 NC Practitioner - Family Practice 9234529678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret County General Hospital CorporationGroup PAC ID 7517877517, 118 clinicians

Practice addresses (Care Compare)

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6000

Hospital & facility affiliations

  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • Russell County Hospital Hospital, Russell Springs, KY, CCN 181330

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
68.25
Promoting interoperability
100
Improvement activities
40
Cost
72.39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 1, 2022 Accepting new patients
Kentucky Medical Services Foundation, Inc Family Medicine CurrentSince May 31, 2023 Accepting new patients
University of Kentucky CurrentSince May 31, 2023 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 1, 2022 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Carteret County General Hospital Corporation CurrentSince Jul 26, 2024 Accepting new patients
Floyd Emergency Group, LLC CurrentSince Jun 25, 2022 Accepting new patients

Locations

77 Millard Allen Dr E
Lackey, KY 41643
Phone (606) 358-2381

2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2195 Harrodsburg Rd
Ste 125
Lexington, KY 40504
Phone (859) 257-4732

2195 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 323-2232

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

535 N Lake Dr
Prestonsburg, KY 41653
Phone (606) 372-1239

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

Organizations & group practices 12

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1275196362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S ELM ST",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415019019",
            "telephone_number": "606-369-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 HARRODSBURG RD STE 125",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405043543",
            "telephone_number": "859-323-6371",
            "fax_number": "859-257-3585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 N Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531278",
            "country_code": "US",
            "telephone_number": "606-886-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "CHRISTIAN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-15",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.