Mark H. Middleton, MD
Surgery Physician · Athens, GA
Mark H. Middleton, MD is a surgery physician with a practice address in Athens, Georgia, and NPI 1710977202, issued on Oct 26, 2005. Check the license (Georgia 55154, as entered in NPPES) on the Georgia Composite Medical Board; the Medicare figures below come from public CMS files.
- Name
- Mark H. Middleton
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License numbers
- 55154 GA
04-48942 KS
Self-reported in NPPES; status is on the state search - Practice location
- 1199 Prince Ave, Athens, GA 30606
- Phone
- (706) 475-5076
- Enumerated
- Oct 26, 2005
- Record last updated
- Feb 17, 2026
- Medicare enrollment
- Enrolled (PECOS I20240220002837); accepts Medicare assignment
- Medical or professional school
- University Of Alabama School Of Medicine, 1996
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 991 in Georgia → Look up another NPI →
Also registered at 1199 Prince Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ibipo Abdurraheem-Salami, MDInternal Medicine Physician1962024323
- Sarah Adams, PHARMDPharmacist1548102742
- Eric Afari, MDInternal Medicine Physician1215399068
- Fakhar Ahmad, M.D.Hospitalist Physician1295781094
- Mohammad Ahmad, FNPFamily Nurse Practitioner1588315667
- Thomas Aiken, M.D.Emergency Medicine Physician1598127979
Verify Mark H. Middleton in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersGeorgia Composite Medical Board
Search for license 55154Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average surgery physician in 2024
18 Medicare Part D claims for 16 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Chi Health Clinic Specialty LLCGrand Island, NE
- Eastern Maine Medical CenterBangor, ME
- Topeka Physician Group LLCTopeka, KS
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark H. Middleton among 991 surgery physician records in Georgia
Mark H. Middleton, MD is one of 991 surgery physician records with a practice address in Georgia. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 89% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated1996 · median 2004 among the 611 with a school on file
- Record last updated2026 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Georgia
There are 991 surgery physician records in Georgia.
All 991 in Georgia → Every provider in Athens → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Eric Bour, MDAthens, GA 306061548245913
- Robert Cannon, M.D.Athens, GA 306061841224334
- Aaron Carr, MDAthens, GA 306061760631287
- Thomas Hawk, M.D.Athens, GA 306061043363716
- Kathleen Jeffery, MDAthens, GA 306061801909635
- William Lawrence, MDAthens, GA 306061700894870
- Rembert McElhannon, M.D.Athens, GA 306061982698791
- Riikka Mohorn, MDAthens, GA 306061992721500
Common questions
What is Mark H. Middleton, MD's NPI number?
Mark H. Middleton, MD's National Provider Identifier (NPI) is 1710977202, issued on Oct 26, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Mark H. Middleton, MD located?
The NPPES record lists a practice address at 1199 Prince Ave, Athens, GA, 30606. Phone: (706) 475-5076. Providers update this record themselves, so call before visiting.
How can I verify Mark H. Middleton, MD's license?
NPPES lists Georgia license number 55154, as entered by the provider. Search the Georgia Composite Medical Board at https://medicalboard.georgia.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mark H. Middleton, MD prescribe under Medicare Part D?
In 2024, Mark H. Middleton, MD had 18 Medicare Part D claims for 16 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Mark H. Middleton, MD's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.