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NICHOLAS A. MARSCHALK DO
NPI 1215399357
Internal Medicine - Infectious Disease in Columbus, OH

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
1581 DODD DR, COLUMBUS, OH 43210(614) 293-4854(614) 293-8102 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Mar 13, 2017, May 11, 2016 and 1 more (4 updates tracked since 2016).

About Nicholas A. Marschalk Do NPPES

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

NICHOLAS A. MARSCHALK DO (NPI 1215399357) is an individual infectious disease provider in Columbus, Ohio, licensed in Ohio (34.013105) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2016).

NPPES Registry Identity

NPI1215399357
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameNICHOLAS A. MARSCHALKCredential: DO
Location Address1581 DODD DRColumbus, OH 43210-1257
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4854 · Fax (614) 293-8102
Phone(614) 293-4854
Fax(614) 293-8102
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateFebruary 10, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
✔ NPI 1215399357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 34.013105
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1581 DODD DR, Columbus, OH 43210
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Nicholas A. Marschalk 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 ID5294020368
PECOS Enrollment IDI20210723002602
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 5

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.

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.
108 services48 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.
92 services54 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.
59 services56 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.
28 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

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.

DR. VIDHYA CHANDRASEKARAN M.D.
Internal Medicine (Infectious Disease)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-4854
ANDREW M LOUDON M.D.
Surgery (Trauma Surgery)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-2101
MR. GERALD WILLIAM ARNOLD II APRN-CNP
Nurse Practitioner (Adult Health)
1581 DODD DR, 1ST FLOOR
COLUMBUS, OH 43210
Franklin County (614) 293-2101
MELISSA R MULLETT MS, RD, LD
Dietitian, Registered
1581 DODD DR, 491 MCCAMPBELL HALL
COLUMBUS, OH 43210
Franklin County (614) 292-3800
DR. ALI AL SAFI MD
Internal Medicine (Infectious Disease)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-4854
BETSEY A. BENSON PH.D.
Psychologist
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 247-7900
DR. JOHN HUGHES LOFTUS M.D.
Surgery (Surgical Critical Care)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-2101
COURTNEY NICHOLS MD
Internal Medicine (Infectious Disease)
1581 DODD DR
COLUMBUS, OH 43210
Franklin County (614) 293-4854

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 Nicholas Marschalk's NPI number?

The NPI number for Nicholas Marschalk is 1215399357. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Nicholas Marschalk located?

Nicholas Marschalk practices at 1581 Dodd Dr, Columbus, OH 43210. The listed phone number is (614) 293-4854.

What is Nicholas Marschalk's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Nicholas Marschalk enrolled in Medicare?

Yes. Nicholas Marschalk 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 Nicholas Marschalk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Nicholas Marschalk 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 Nicholas Marschalk affiliated with any hospitals?

According to CMS data, Nicholas Marschalk is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Nicholas Marschalk was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.