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MARK C SEGEL M.D.
NPI 1215916382
Radiology - Diagnostic Radiology in Clinton Township, MI

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
36175 HARPER AVE, CLINTON TOWNSHIP, MI 48035(586) 741-3772(586) 741-4604 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark C Segel M.d. NPPES

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

MARK C SEGEL M.D. (NPI 1215916382) is an individual diagnostic radiology provider in Clinton Township, Michigan, licensed in Michigan (4301050063) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1981).

NPPES Registry Identity

NPI1215916382
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMARK C SEGELCredential: M.D.
Location Address36175 HARPER AVEClinton Township, MI 48035-3274
Mailing Address36175 Harper AveClinton Township, MI 48035-3274 · (586) 741-3772 · Fax (586) 741-4604
Phone(586) 741-3772
Fax(586) 741-4604
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1981
Enumeration DateJanuary 17, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1215916382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MI · 4301050063
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
36175 HARPER AVE, Clinton Township, MI 48035
Open in Google Maps ↗

Other Identifiers 6

Other0H26188MI · Bcbs Provider Number
Other1006439MI · Mclaren Health
Medicare UPINE31404MI
Other0Q26008MI · Bcbs Provider Number
Other139218MI · Great Lakes Health
Medicaid4462255MI

Accepted Insurance

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

Mark C Segel M.d. 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 ID4688754054
PECOS Enrollment IDI20100327000158
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 10

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,715 services1,715 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,710 services1,710 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
191 services171 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
130 services121 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
122 services109 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
69 services69 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension River District Hospital

Acute Care Hospitals · East China, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230241
Location4100 River RdEast China, MI 48054 · St. Clair County
Emergency services

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48035 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
65%218 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%2,540 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

KYOUNG SOO BAE M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
MICHAEL P. TRPKOVSKI M.D.
Radiology (Vascular & Interventional Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 464-0740
ROJANANDHAM SAMUDRALA M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
MRS. CYNTHIA MARIE WHEELER M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
DR. AVA ANN POWELL D.O.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TWP, MI 48035
Macomb County (586) 464-0731
ANTHONY P MUNACO M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
PROF. VICTOR MALDONADO M.D.
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772
SUNDEEP HARISH PATEL
Radiology (Diagnostic Radiology)
36175 HARPER AVE
CLINTON TOWNSHIP, MI 48035
Macomb County (586) 741-3772

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 Mark Segel's NPI number?

The NPI number for Mark Segel is 1215916382. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Mark Segel located?

Mark Segel practices at 36175 Harper Ave, Clinton Township, MI 48035. The listed phone number is (586) 741-3772.

What is Mark Segel's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Mark Segel enrolled in Medicare?

Yes. Mark Segel 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 Mark Segel accept?

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

According to CMS data, Mark Segel is affiliated with Henry Ford Macomb Hospital, Henry Ford Health Hospital, Ascension St John Hospital, Ascension River District Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Mark Segel was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.