KEVIN M MARKHAM M.D.
NPI 1003871559
Surgery in Petoskey, MI

Q: What is Kevin Markham's NPI number?

The NPI number for Kevin Markham is 1003871559. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Q: What is Kevin Markham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Markham was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment

521 MONROE ST, PETOSKEY, MI 49770(231) 487-1900(231) 348-0984 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Kevin M Markham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN M MARKHAM M.D. (NPI 1003871559) is an individual surgery provider in Petoskey, Michigan, licensed in Michigan (4301065831) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Wayne State University School Of Medicine (2001).

NPPES Registry Identity

NPI1003871559

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameKEVIN M MARKHAMCredential: M.D.

Location Address521 MONROE STPetoskey, MI 49770-2266

Mailing Address521 Monroe StPetoskey, MI 49770-2266 · (231) 487-1900 · Fax (231) 348-0984

Phone(231) 487-1900

Fax(231) 348-0984

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2001

Enumeration DateApril 19, 2006

Last NPPES UpdateNovember 19, 2015

✔ NPI 1003871559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MI · 4301065831

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

521 MONROE ST, Petoskey, MI 49770

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Other Identifiers 6

Other020B41012MI · Bcbs Mi

Other0B41012MI · Bcn

Medicare UPINH42036MI

Medicaid4320358MI

Medicare PIN0M75210006MI

OtherP00117059MI · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin M Markham M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507871340

PECOS Enrollment IDI20100819001230

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Markham reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Petoskey Surgeons, P.C.

Same address

Surgery

521 MONROE ST
Petoskey, MI 49770

Reassigned Medicare billing, Michigan enrollment
17 clinicians in this Medicare group

NPI 1730145574 (231) 487-1900

Mackinac Straits Health System Inc

31 mi

Rural Health

920 S HURON ST
Cheboygan, MI 49721

Reassigned Medicare billing, Michigan enrollment
Also billed through NPI 1659536035 (Michigan)
60 clinicians in this Medicare group

NPI 1659868206 (231) 597-8192

Helen Newberry Joy Hospital & Healthcare Center

59 mi

Rural Health

14034 W MELVILLE RD
Engadine, MI 49827

Reassigned Medicare billing, Michigan enrollment
Also billed through NPI 1497742050 (Michigan)
43 clinicians in this Medicare group

NPI 1033266002 (906) 477-6066

Acute Care Surgery Medical Group, Inc.

1,920 mi

Surgery

2801 K STREET SUITE 440
Sacramento, CA 95816

Reassigned Medicare billing, Michigan enrollment
42 clinicians in this Medicare group

NPI 1700069549 (916) 441-0400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

87 services58 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

69 services66 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

61 services56 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

47 services47 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

41 services23 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

38 services38 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

32 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

27 services27 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

23 services23 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

21 services18 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

Partial removal of breast 19301

A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.

19 services17 patients

Insertion of central venous tube with port (5 years or older) 36561

A central venous tube with port is a small, flexible tube inserted into a large vein, usually in the chest. It allows for easy administration of medication, fluids, or blood products over a long period. A port is attached under the skin for easy access. It's safe for individuals aged 5 and above.

19 services19 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

18 services15 patients

Fluoroscopic guidance for insertion or removal of central vein access device 77001

Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

14 services14 patients

Biopsy or removal of deep lymph nodes of underarm 38525

A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.

13 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Helen Newberry Joy Hospital

Critical Access Hospitals · Newberry, MI

OwnershipGovernment - Local

CMS Certification Number231304

Location502 W Harrie StNewberry, MI 49868 · Luce County

Emergency services

Mackinac Straits Hospital And Health Center

Critical Access Hospitals · Saint Ignace, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231306

Location1140 N State StreetSaint Ignace, MI 49781 · Mackinac County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49770 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ZACHARY AARON HORTON M.D.

Surgery