MARKUS BYRON
NPI 1013678010
Nurse Practitioner - Family in Owosso, MI

Active since January 03, 2022PECOS EnrolledAccepts Medicare Assignment
56.42/100
CMS Quality Rating
818 W KING ST, OWOSSO, MI 48867(989) 723-2299 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2023, Jan 3, 2022 (2 updates tracked since 2022).

About Markus Byron NPPES

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

MARKUS BYRON (NPI 1013678010) is an individual family provider in Owosso, Michigan, licensed in Michigan (4704323905) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Saginaw Valley Medical College - Nlg (2021).

NPPES Registry Identity

NPI1013678010
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARKUS BYRON
Location Address818 W KING STOwosso, MI 48867-2116
Mailing Address9580 Edward DrBrighton, MI 48114-8646 · (810) 335-1110
Sole ProprietorNo
Medical School CMSSaginaw Valley Medical College - NlgGraduated 2021
Enumeration DateJanuary 3, 2022
Last NPPES UpdateJune 6, 20232 updates tracked since enumeration
NPPES CertifiedJune 6, 2023
NPI 1013678010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704323905
818 W KING ST, Owosso, MI 48867

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Markus Byron 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 ID9638550577
PECOS Enrollment IDI20220722002236
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services91 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.
45 services40 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services21 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

56.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability0
Improvement Activities40
Cost60.06

Other Providers at the Same Location NPPES 12

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

Obstetrics & Gynecology
818 W KING ST, SUITE 300
OWOSSO, MI 48867
Obstetrics & Gynecology
818 W KING ST, SUITE 103
OWOSSO, MI 48867
Family Medicine
818 W KING ST, STE 103
OWOSSO, MI 48867
Physician Assistant
818 W KING ST, STE 103
OWOSSO, MI 48867
Specialist
818 W KING ST, SUITE 301
OWOSSO, MI 48867
Otolaryngology (Plastic Surgery within the Head & Neck)
818 W KING ST, SUITE 301
OWOSSO, MI 48867
Urology
818 W KING ST, SUITE 202
OWOSSO, MI 48867
Surgery
818 W KING ST, STE 201
OWOSSO, MI 48867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Markus Byron's NPI number?

The NPI number for Markus Byron is 1013678010. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Markus Byron located?

Markus Byron practices at 818 W King St, Owosso, MI 48867. The listed phone number is (989) 723-2299.

What is Markus Byron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Markus Byron enrolled in Medicare?

Yes. Markus Byron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Markus Byron accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Markus Byron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Markus Byron affiliated with any hospitals?

According to CMS data, Markus Byron is affiliated with Memorial Healthcare and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Markus Byron was last updated on June 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.