DR. MARK THOMAS KOEHL M.D.
NPI 1053399220
Family Medicine in Temperance, MI

Q: What is Mark Koehl's NPI number?

The NPI number for Mark Koehl is 1053399220. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Q: What is Mark Koehl's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Koehl was last updated on March 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 January 06, 2006PECOS EnrolledAccepts Medicare Assignment

8765 LEWIS AVE, TEMPERANCE, MI 48182(734) 847-3802(734) 847-3418 Get Directions Write a Review

NPPES record last updated: March 5, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Mark Thomas Koehl M.d. NPPES

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

DR. MARK THOMAS KOEHL M.D. (NPI 1053399220) is an individual family medicine provider in Temperance, Michigan, licensed in Michigan (4301055332) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Medical College Of Ohio (1987).

NPPES Registry Identity

NPI1053399220

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK THOMAS KOEHLCredential: M.D.

Location Address8765 LEWIS AVETemperance, MI 48182-9583

Mailing Address8765 Lewis AveTemperance, MI 48182-9583 · (734) 847-3802 · Fax (734) 847-3418

Phone(734) 847-3802

Fax(734) 847-3418

Sole ProprietorNo

Medical School CMSMedical College Of OhioGraduated 1987

Enumeration DateJanuary 6, 2006

Last NPPES UpdateMarch 5, 2009

✔ NPI 1053399220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 4301055332

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8765 LEWIS AVE, Temperance, MI 48182

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Other Identifiers 10

Medicare UPIND33231MI

Other02214MI · Paramount Health Care

Other700E86031MI · Bcbs Of Michigan

Other05816MI · Health Plan Of Michigan

Medicare PINE86031004MI

Medicare PIN9310221OH

Medicaid2047421OH

Medicare OSCAR/certification231807WI

Medicaid2652573MI

Medicare PIN4024381OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Mark Thomas Koehl 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 ID2668649708

PECOS Enrollment IDI20120810000203

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.

Hospital Affiliations CMS Care Compare 4

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230046

Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County

Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230099

Location718 N Macomb StMonroe, MI 48162 · Monroe County

Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48182 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers32 claims55 services$5.61 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers15 claims17 services$1.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

HAVERT BEAL II LLPC

Counselor (Mental Health)