MARSHALL BALDERSTON DO
NPI 1205570850
Internal Medicine in Detroit, MI

Q: What is Marshall Balderston's NPI number?

The NPI number for Marshall Balderston is 1205570850. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Marshall Balderston's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 20, 2022PECOS Enrolled

6071 W OUTER DR, DETROIT, MI 48235(313) 966-3250 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 24, 2026, Apr 20, 2022 (2 updates tracked since 2022).

On this page

About Marshall Balderston Do NPPES

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

MARSHALL BALDERSTON DO (NPI 1205570850) is an individual internal medicine provider in Detroit, Michigan, licensed in Michigan (5101029284) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Taylor.

NPPES Registry Identity

NPI1205570850

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMARSHALL BALDERSTONCredential: DO

Location Address6071 W OUTER DRDetroit, MI 48235-2624

Mailing Address33437 Hampton RdEugene, OR 97405-9539 · (541) 556-5129

Phone(313) 966-3250

Sole ProprietorYes

Enumeration DateApril 20, 2022

Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration

NPPES CertifiedAugust 24, 2026

✔ NPI 1205570850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MI · 5101029284

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6071 W OUTER DR, Detroit, MI 48235

Open in Google Maps ↗

Secondary Practice Location 1

Location 110000 Telegraph RdTaylor, MI 48180-3330 · Phone (313) 295-5000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall Balderston Do 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 Reassignment

Medicare enrollment records show Marshall Balderston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaumont Medical Group Hospital -Based Services

6.6 mi

Hospitalist

3601 W 13 MILE RD
Royal Oak, MI 48073

Reassigned Medicare billing, Michigan enrollment
946 clinicians in this Medicare group

NPI 1427567858 (248) 898-5000

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 48235 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

$134.28 typical visit price

range $58.04 – $177.36

Typical copayment $33.57 (range $14.51 – $44.34)

Most-billed visit code 99204

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.

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.

MS. LILIA POPADIUK P.A.

Physician Assistant