Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark D Kriskovich, MD

Individual provider Specialist · NPI 1619086626

Mark D Kriskovich, MD is an Otolaryngology in Cookeville, Tennessee. Graduated from Baylor College of Medicine in 1993, 33 years ago. Practices with Upper Cumberland Otolaryngology Clinic, PC, a 6-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
33
Trained at
Baylor College of Medicine
Licensed in
TN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

100 W 4th St Ste 200
Cookeville, TN 38501-2448
Phone: (931) 528-1575
Fax: (931) 526-2962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MD036079 (TN)

Record details

NPI number1619086626
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address100 W 4th St, Suite 200, Cookeville, TN 38501-2448

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Upper Cumberland Otolaryngology Clinic, Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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