DR. DOUGLAS J. MARKERT M.D.
NPI 1114907631
Radiology - Vascular & Interventional Radiology in Gainesville, VA

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
14540 JOHN MARSHALL HWY STE 104, GAINESVILLE, VA 20155(703) 712-6062(571) 445-3075 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2021, Oct 6, 2020, Mar 17, 2018 (3 updates tracked since 2018).

About Dr. Douglas J. Markert M.d. NPPES

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

DR. DOUGLAS J. MARKERT M.D. (NPI 1114907631) is an individual vascular & interventional radiology provider in Gainesville, Virginia, licensed in Virginia (0101059112) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Uva Health Haymarket Medical Center, and is a graduate of Eastern Virginia Medical School (1994).

NPPES Registry Identity

NPI1114907631
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. DOUGLAS J. MARKERTCredential: M.D.
Location Address14540 JOHN MARSHALL HWY STE 104Gainesville, VA 20155-1693
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(571) 445-3075
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1994
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 31, 20213 updates tracked since enumeration
NPPES CertifiedJuly 31, 2021
✔ NPI 1114907631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in VA · 0101059112
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 0101059112 (VA)
14540 JOHN MARSHALL HWY STE 104, Gainesville, VA 20155

Other Identifiers 8

Medicaid0101059112VA
Medicaid7237936VA
Other6688-0015VA · Carefirst
Other70569267VA · Tricare
Medicaid7237766VA
Medicaid7220952VA
Medicaid7237782VA
Medicaid7237774VA

Accepted 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

Dr. Douglas J. Markert 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 ID1052317062
PECOS Enrollment IDI20100119000149
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

4

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

Family Medicine
14540 JOHN MARSHALL HWY, SUITE 104
Gainesville, VA 20155
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Uva Community Health Medical Group LLC
  • 584 clinicians in this Medicare group
Internal Medicine
207 E 5TH AVE
Ranson, WV 25438
  • Reassigned Medicare billing, West Virginia enrollment
  • 231 clinicians in this Medicare group
Radiology
1015 SPRING CREEK PKWY, SUITE 130
Zion Crossroads, VA 22942
  • Reassigned Medicare billing, Virginia enrollment
  • 308 clinicians in this Medicare group
Neuromusculoskeletal Medicine, Sports Medicine
4105 LEWIS AND CLARK DR
Charlottesville, VA 22911
  • Reassigned Medicare billing, Virginia enrollment
  • 2,820 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20155 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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

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

Radiology (Vascular & Interventional Radiology)
14540 JOHN MARSHALL HWY STE 104
GAINESVILLE, VA 20155

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 Douglas Markert's NPI number?

The NPI number for Douglas Markert is 1114907631. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Douglas Markert located?

Douglas Markert practices at 14540 John Marshall Hwy Ste 104, Gainesville, VA 20155. The listed phone number is (703) 712-6062.

What is Douglas Markert's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Douglas Markert enrolled in Medicare?

Yes. Douglas Markert 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.

Which organizations bill Medicare for Douglas Markert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Markert reassigns Medicare benefits to 4 organizations: Nmg Affiliate Practice I, LLC (Gainesville, VA), City Hospital, Inc. (Ranson, WV), University Of Virginia Imaging, LLC (Zion Crossroads, VA) and University Of Virginia Physicians Group (Charlottesville, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Markert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Markert accept?

Health plans from CareSource and Oscar Health list Douglas Markert 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 Douglas Markert affiliated with any hospitals?

According to CMS data, Douglas Markert is affiliated with Uva Health Haymarket Medical Center and Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Markert was last updated on July 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.