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DR. MARC ALAN HULTQUIST D.O.
NPI 1063595593
Pediatrics in Madison, AL

Active since October 20, 2006PECOS Enrolled
12205 COUNTY LINE RD STE C, MADISON, AL 35758(256) 258-8319(256) 489-4070 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marc Alan Hultquist D.o. NPPES

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

DR. MARC ALAN HULTQUIST D.O. (NPI 1063595593) is an individual pediatrics provider in Madison, Alabama, licensed in Alabama (3042) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Sill.

NPPES Registry Identity

NPI1063595593
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARC ALAN HULTQUISTCredential: D.O.
Location Address12205 COUNTY LINE RD STE CMadison, AL 35758-7720
Mailing Address12205 County Line Rd Ste CMadison, AL 35758-7720 · (256) 258-8319 · Fax (256) 489-4070
Phone(256) 258-8319
Fax(256) 489-4070
Sole ProprietorYes
Enumeration DateOctober 20, 2006
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
✔ NPI 1063595593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in AL · 3042✔ Licensed in IA · 3331
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 3042 (AL)
12205 COUNTY LINE RD STE C, Madison, AL 35758
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Secondary Practice Location 1

Location 14301 Mow-Way Rd, Reynolds Army Hospital (ATTN: MCUA-QC, Ms. Prescott)Fort Sill, OK 73503-6300 · Phone (580) 458-2134 · Fax (580) 458-2314

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marc Alan Hultquist D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35758 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Other Providers at the Same Location NPPES 5

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

STEPHANIE FAITH BARNETT CRNP
Nurse Practitioner (Family)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 246-8575
SOUTHEASTERN PODIATRY LLC
Podiatrist
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 684-8247
REAGAN'S CLINIC, LLC
Pediatrics (Developmental - Behavioral Pediatrics)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (563) 424-0459
SHANE JONES DPM
Podiatrist
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 684-8247
KRESTA LEE SUNDERMAN CRNP
Pediatrics
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 258-8319

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 Marc Hultquist's NPI number?

The NPI number for Marc Hultquist is 1063595593. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Marc Hultquist located?

Marc Hultquist practices at 12205 County Line Rd Ste C, Madison, AL 35758. The listed phone number is (256) 258-8319.

What is Marc Hultquist's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marc Hultquist enrolled in Medicare?

Yes. Marc Hultquist is registered in the Medicare PECOS enrollment system.

What insurance does Marc Hultquist accept?

Health plans from Blue Cross and Blue Shield of Alabama list Marc Hultquist 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.

When was this NPI record last updated?

The NPPES record for Marc Hultquist was last updated on February 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.