MARCUS MACDONALD NP
NPI 1194471763
Nurse Practitioner in Redford, MI

Active since February 23, 2022PECOS EnrolledAccepts Medicare Assignment
80.59/100
CMS Quality Rating
14671 TELEGRAPH RD, REDFORD, MI 48239(313) 948-3055 Get Directions Write a Review

NPPES record last updated: February 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marcus Macdonald Np NPPES

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

MARCUS MACDONALD NP (NPI 1194471763) is an individual nurse practitioner in Redford, Michigan, licensed in Michigan (4704314802) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194471763
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMARCUS MACDONALDCredential: NP
Location Address14671 TELEGRAPH RDRedford, MI 48239-3300
Mailing Address14671 Telegraph RdRedford, MI 48239-3300 · (313) 948-3055
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 23, 2022
NPPES CertifiedFebruary 23, 2022
✔ NPI 1194471763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704314802
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
14671 TELEGRAPH RD, Redford, MI 48239

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

Marcus Macdonald Np 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 ID3577957943
PECOS Enrollment IDI20220301000573
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

17

Medicare enrollment records show Marcus Macdonald reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
14671 TELEGRAPH RD
Redford, MI 48239
  • Reassigned Medicare billing, Michigan enrollment
  • 102 clinicians in this Medicare group
Internal Medicine
29201 TELEGRAPH RD STE 404N
Southfield, MI 48034
  • Reassigned Medicare billing, Michigan enrollment
  • 407 clinicians in this Medicare group
Urgent Care
29405 GREENFIELD RD
Southfield, MI 48076
  • Reassigned Medicare billing, Michigan enrollment
  • 51 clinicians in this Medicare group
Urgent Care
23234 ECORSE RD
Taylor, MI 48180
  • Reassigned Medicare billing, Michigan enrollment
  • 129 clinicians in this Medicare group
Urgent Care
43033 FORD RD
Canton, MI 48187
  • Reassigned Medicare billing, Michigan enrollment
  • 92 clinicians in this Medicare group
Urgent Care
4060 ROCHESTER RD
Troy, MI 48085
  • Reassigned Medicare billing, Michigan enrollment
  • 90 clinicians in this Medicare group
Urgent Care
2900 UNION LAKE RD STE 110
Commerce Twp, MI 48382
  • Reassigned Medicare billing, Michigan enrollment
  • 89 clinicians in this Medicare group
Urgent Care
2161 18 MILE RD
Sterling Heights, MI 48314
  • Reassigned Medicare billing, Michigan enrollment
  • 64 clinicians in this Medicare group
Urgent Care
301 W MICHIGAN AVE, SUITE 100
Ypsilanti, MI 48197
  • Reassigned Medicare billing, Michigan enrollment
  • 96 clinicians in this Medicare group
Urgent Care
2915 WALTON BLVD
Rochester Hills, MI 48309
  • Reassigned Medicare billing, Michigan enrollment
  • 91 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.

Areas of Expertise CMS Part B claims 2

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.

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.
32 services32 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48239 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.55
Promoting Interoperability100
Improvement Activities40
Cost52.03

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 Practitioner
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Nurse Practitioner
14671 TELEGRAPH RD
REDFORD, MI 48239
Clinic/Center (Primary Care)
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Physician Assistant
14671 TELEGRAPH RD
REDFORD, MI 48239
Nurse Practitioner (Family)
14671 TELEGRAPH RD
REDFORD, MI 48239

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 Marcus Macdonald's NPI number?

The NPI number for Marcus Macdonald is 1194471763. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Marcus Macdonald located?

Marcus Macdonald practices at 14671 Telegraph Rd, Redford, MI 48239. The listed phone number is (313) 948-3055.

What is Marcus Macdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marcus Macdonald enrolled in Medicare?

Yes. Marcus Macdonald 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 Marcus Macdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Macdonald reassigns Medicare benefits to 17 organizations: Best Urgent Care PC (Redford, MI), Vhs Physicians Of Michigan (Southfield, MI), Doctors Urgent Care Southfield (Southfield, MI), Taylor Urgent Care PC (Taylor, MI), Canton Urgent Care Walk-In Clinic PC (Canton, MI) and 12 more organizations, listed in the Medicare section above. 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 Marcus Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcus Macdonald accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Marcus Macdonald 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 Marcus Macdonald affiliated with any hospitals?

According to CMS data, Marcus Macdonald is affiliated with Promedica Charles And Virginia Hickman Hospital and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Marcus Macdonald was last updated on February 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.