MICHAEL ST. MARIE M.D.
NPI 1114974219
Emergency Medicine in Ashtabula, OH

Active since May 27, 2006PECOS Enrolled
2420 LAKE AVE, ASHTABULA, OH 44004(440) 997-2262 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael St. Marie M.d. NPPES

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

MICHAEL ST. MARIE M.D. (NPI 1114974219) is an individual emergency medicine provider in Ashtabula, Ohio, licensed in Ohio (35064462S) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114974219
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL ST. MARIECredential: M.D.
Location Address2420 LAKE AVEAshtabula, OH 44004-4954
Mailing Address32945 Canterbury RdAvon Lake, OH 44012-1587
Sole ProprietorYes
Enumeration DateMay 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114974219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OH · 35064462S
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2420 LAKE AVE, Ashtabula, OH 44004

Other Identifiers 5

Other942460636340OH · Caresource
OtherP00220354OH · Medicare Travelers Rr-ga
Medicaid0573937OH
Medicare ID-Type UnspecifiedST0746809OH
Medicare UPIND57112OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael St. Marie M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael St. Marie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
354 E WASHINGTON AVE
Ashburn, GA 31714
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
Surgical Oncology
409 W 4TH AVE
Albany, GA 31701
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Phoebe Putney Memorial Hospital, Inc.
  • 264 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44004 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $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.

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.

Nurse Anesthetist, Certified Registered
2420 LAKE AVE
ASHTABULA, OH 44004
Personal Emergency Response Attendant
2420 LAKE AVE
ASHTABULA, OH 44004
Pathology (Anatomic Pathology & Clinical Pathology)
2420 LAKE AVE
ASHTABULA, OH 44004
Social Worker
2420 LAKE AVE
ASHTABULA, OH 44004
Anesthesiology
2420 LAKE AVE
ASHTABULA, OH 44004
Pharmacist
2420 LAKE AVE
ASHTABULA, OH 44004
Social Worker
2420 LAKE AVE
ASHTABULA, OH 44004
Internal Medicine (Hematology & Oncology)
2420 LAKE AVE
ASHTABULA, OH 44004

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 Michael St. Marie's NPI number?

The NPI number for Michael St. Marie is 1114974219. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Michael St. Marie located?

Michael St. Marie practices at 2420 Lake Ave, Ashtabula, OH 44004. The listed phone number is (440) 997-2262.

What is Michael St. Marie's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael St. Marie enrolled in Medicare?

Yes. Michael St. Marie is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael St. Marie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael St. Marie reassigns Medicare benefits to 2 organizations: Phoebe Worth Medical Center, Inc (Ashburn, GA) and Phoebe Cancer Center Surgical Oncology (Albany, GA). 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 Michael St. Marie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael St. Marie was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.