CMS-1500 Box 24J / 33a • NPI
1104239797
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RC0000X (CMS 06)
Board-Certified Cardiologist (Heart & Blood Vessel Specialist)
Box 32 Service Location & ZIP+4
1955 DIXIE HWY STE E, FT WRIGHT, KY, 41011-2882
✓ 9-Digit EDI 837 ZIP+4 (41011-2882)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104239797 (MARK BERLACHER, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1104239797)
Medicare Beneficiaries
1,523
Total Billed Services
2,806
Distinct CPT/HCPCS Codes
48
Medicare Allowed Total
$174,867.13
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
75574 | Ct scan of blood vessels and grafts of heart with contrast | 32 |
75580 | Analysis of data from ct study of heart blood vessels to assess severity of heart artery disease, with interpretation and report | 11 |
78431 | Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | 23 |
78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 41 |
78452 | Nuclear medicine studies of heart muscle at rest and with stress and spect | 29 |
92960 | External shock to heart to regulate heart beat | 18 |
93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 230 |
93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 354 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Amiodarone Hcl Amiodarone Hcl | 49 | 24 |
| Amlodipine Besylate Amlodipine Besylate | 401 | 130 |
| Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril | 61 | 23 |
| Atenolol Atenolol | 35 | 11 |
| Atorvastatin Calcium Atorvastatin Calcium | 544 | 183 |
| Benazepril Hcl Benazepril Hcl | 14 | <11 |
| Benazepril-Hydrochlorothiazide Benazepril/Hydrochlorothiazide | 12 | <11 |
| Brilinta Ticagrelor | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104239797 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARK BERLACHER, M.D. |
| Plain-English Specialty | Board-Certified Cardiologist (Heart & Blood Vessel Specialist) NUCC Code: 207RC0000X (Internal Medicine, Cardiovascular Disease) |
| Certifying / Licensing Body | American Board of Internal Medicine — Cardiovascular Disease |
| Practice Location Address | 1955 DIXIE HWY STE E, FT WRIGHT, KY, 41011-2882 |
| Practice Telephone / Fax | Tel: (859) 292-4560 | Fax: (859) 292-4561 |
| Administrative Mailing Address | 541 CLINICAL DRIVE, CL 626, INDIANAPOLIS, IN, 46202 |
| Enumeration & Last Sync | Enumerated: 2014-06-11 | CMS Record Updated: 2021-08-16 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (207RC0000X)
What Does Taxonomy Code 207RC0000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RC0000X translates to:
"Board-Certified Cardiologist (Heart & Blood Vessel Specialist)"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARK BERLACHER, M.D.)
Typical CPT / Diagnostic Procedures:- Transthoracic Doppler Echocardiography (TTE — CPT 93306)
- 12-Lead Electrocardiogram (ECG) & Holter / Event Arrhythmia Monitoring
- Exercise Treadmill & Myocardial Perfusion Nuclear Stress Testing
- Diagnostic Coronary Angiography & Percutaneous Coronary Intervention (PCI)
- High-Intensity Statins (Atorvastatin, Rosuvastatin) & Ezetimibe
- Beta-Blockers (Metoprolol Succinate, Carvedilol, Bisoprolol)
- Sacubitril/Valsartan, Empagliflozin & Spironolactone (Heart Failure GDMT)
- Apixaban, Rivaroxaban & Clopidogrel (Atrial Fibrillation & Stent Thrombosis Prevention)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: OH | License: 35141460 | Primary: Secondary |
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: IN | License: 11017791A | Primary: Secondary |
207RC0000X — Internal Medicine, Cardiovascular DiseasePlain English: Board-Certified Cardiologist (Heart & Blood Vessel Specialist) | State: KY | License: 55150 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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