STEPHANIE D MARSHALL DO
NPI 1124002738
Internal Medicine - Cardiovascular Disease in Merrillville, IN

Q: What is Stephanie Marshall's NPI number?

The NPI number for Stephanie Marshall is 1124002738. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Q: What is Stephanie Marshall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment

99.66/100

CMS Quality Rating

8684 CONNECTICUT ST STE A, MERRILLVILLE, IN 46410(192) 472-8990(219) 472-0270 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2021, May 31, 2021, Mar 12, 2021 and 3 more (6 updates tracked since 2017).

On this page

About Stephanie D Marshall Do NPPES

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

STEPHANIE D MARSHALL DO (NPI 1124002738) is an individual cardiovascular disease provider in Merrillville, Indiana, licensed in Indiana (02001947A) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1996).

NPPES Registry Identity

NPI1124002738

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameSTEPHANIE D MARSHALLCredential: DO

Location Address8684 CONNECTICUT ST STE AMerrillville, IN 46410-5581

Mailing Address8684 Connecticut St Ste AMerrillville, IN 46410-5581 · (192) 472-8990 · Fax (219) 472-0270

Phone(192) 472-8990

Fax(219) 472-0270

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1996

Enumeration DateDecember 6, 2005

Last NPPES UpdateFebruary 27, 20246 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2024

✔ NPI 1124002738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 02001947A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 036-099475 (IL), 02001947A (IN)

8684 CONNECTICUT ST STE A, Merrillville, IN 46410

Open in Google Maps ↗

Other Identifiers 2

Other000000375757IN · Anthem Pin

Medicaid200270150IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company 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

Stephanie D Marshall Do 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 ID8527024397

PECOS Enrollment IDI20050802001378, I20230921003035, I20251110003249

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 12

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.

519 services250 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

166 services160 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

85 services50 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

79 services79 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

75 services74 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

43 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

34 services22 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

24 services24 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

24 services24 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

19 services19 patients

Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan 78431

This is a diagnostic test where a tiny amount of radioactive material is used to examine your heart's blood flow at rest & during stress, alongside a CT scan for detailed images. It helps identify any heart-related issues like blockages or damage.

18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150002

Location600 Grant StGary, IN 46402 · Lake County

Emergency services Birthing friendly

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150090

Location24 Joliet StDyer, IN 46311 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

99.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.31

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES

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

QUEEN OF HEARTS CARDIOVASCULAR & FAMILY HEALTHCARE LLC

Internal Medicine (Cardiovascular Disease)

8684 CONNECTICUT ST STE A
MERRILLVILLE, IN 46410

Lake County (219) 472-8990

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 Stephanie Marshall's NPI number?

The NPI number for Stephanie Marshall is 1124002738. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Stephanie Marshall located?

Stephanie Marshall practices at 8684 Connecticut St Ste A, Merrillville, IN 46410. The listed phone number is (192) 472-8990.

What is Stephanie Marshall's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Stephanie Marshall enrolled in Medicare?

Yes. Stephanie Marshall 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 Stephanie Marshall accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and McLaren Health Plan Community and 1 other insurer list Stephanie Marshall 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 Stephanie Marshall affiliated with any hospitals?

According to CMS data, Stephanie Marshall is affiliated with Northwestern Medicine Central Dupage Hospital, Methodist Hospitals Inc, Franciscan Health Dyer, Community Hospital and Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Stephanie Marshall was last updated on February 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.