MARK AUSTIN, DO — NPI 1780754127 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine in HERRIN, IL)

CMS-1500 Box 24J / 33a • NPI

1780754127

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2083X0100X (CMS 84)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine

Box 32 Service Location & ZIP+4

500 LINCOLN DR STE D, HERRIN, IL, 62948-6355

✓ 9-Digit EDI 837 ZIP+4 (62948-6355)

Practice Phone & Referral Fax

(618) 457-5200

Fax: (618) 529-0568

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1780754127 (MARK AUSTIN, DO) 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

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1780754127` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARK AUSTIN, DO
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine NUCC Code: `2083X0100X` (Preventive Medicine, Occupational Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	500 LINCOLN DR STE D, HERRIN, IL, 62948-6355
Practice Telephone / Fax	Tel: (618) 457-5200 \| Fax: (618) 529-0568
Administrative Mailing Address	PO BOX 1105, INDIANAPOLIS, IN, 46206-1105
Enumeration & Last Sync	Enumerated: 2006-11-09 \| CMS Record Updated: 2011-07-14

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

500 LINCOLN DR STE D, HERRIN, IL, 62948-6355

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Plain-English Taxonomy & CMS Crosswalk (2083X0100X)

What Does Taxonomy Code 2083X0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2083X0100X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 84 (Physician/Preventive Medicine)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preventive Medicine, Occupational Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARK AUSTIN, DO)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2083X0100X` — Preventive Medicine, Occupational Medicine Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Preventive Medicine, Occupational Medicine	State: IL \| License: `036079878` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MARK AUSTIN, DO (NPI #1780754127)