MARC J BERKOWITZ MD
NPI 1174571616
Internal Medicine - Interventional Cardiology in Mesa, AZ

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
82/100
CMS Quality Rating
6750 E BAYWOOD AVE, 301, MESA, AZ 85206(480) 835-6100(480) 461-4261 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc J Berkowitz Md NPPES

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

MARC J BERKOWITZ MD (NPI 1174571616) is an individual interventional cardiology provider in Mesa, Arizona, licensed in Arizona (34943) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1995).

NPPES Registry Identity

NPI1174571616
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMARC J BERKOWITZCredential: MD
Location Address6750 E BAYWOOD AVE, 301Mesa, AZ 85206-1749
Mailing Address6402 E Superstition Springs Blvd, 224Mesa, AZ 85206-4392 · (480) 835-6100 · Fax (480) 461-4261
Fax(480) 461-4261
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1995
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 9, 2016
NPI 1174571616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in AZ · 34943
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 34943 (AZ)
6750 E BAYWOOD AVE, Mesa, AZ 85206

Other Identifiers 4

OtherP00365978AZ · Rail Road Medicare
Medicare PINZ148419AZ
Medicaid093936AZ
Medicare PINZ109651AZ

Accepted 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

Marc J Berkowitz Md 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 ID8123030913
PECOS Enrollment IDI20060616000236
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 35

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.
1,950 services1,202 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.
1,592 services1,244 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.
523 services517 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
460 services115 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
364 services356 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
305 services153 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85206 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability98
Improvement Activities40
Cost67.91

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.

Internal Medicine (Cardiovascular Disease)
6750 E BAYWOOD AVE, STE 503
MESA, AZ 85206
Internal Medicine (Interventional Cardiology)
6750 E BAYWOOD AVE, SUITE 503
MESA, AZ 85206
Pharmacist
6750 E BAYWOOD AVE
MESA, AZ 85206
Thoracic Surgery (Cardiothoracic Vascular Surgery)
6750 E BAYWOOD AVE, SUITE 504
MESA, AZ 85206
Nurse Practitioner
6750 E BAYWOOD AVE
MESA, AZ 85206
Nurse Practitioner (Acute Care)
6750 E BAYWOOD AVE, SUITE 401
MESA, AZ 85206
Internal Medicine (Cardiovascular Disease)
6750 E BAYWOOD AVE, 301
MESA, AZ 85206
Internal Medicine (Cardiovascular Disease)
6750 E BAYWOOD AVE, 301
MESA, AZ 85206

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 Berkowitz's NPI number?

The NPI number for Marc Berkowitz is 1174571616. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Marc Berkowitz located?

Marc Berkowitz practices at 6750 E Baywood Ave 301, Mesa, AZ 85206. The listed phone number is (480) 835-6100.

What is Marc Berkowitz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Marc Berkowitz enrolled in Medicare?

Yes. Marc Berkowitz 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 Marc Berkowitz accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Marc Berkowitz 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 Berkowitz was last updated on June 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.