MARLON NICDAO
NPI 1225673114
Nurse Practitioner - Acute Care in Detroit, MI

Active since November 14, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3990 JOHN R ST, DETROIT, MI 48201(313) 745-8040 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marlon Nicdao NPPES

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

MARLON NICDAO (NPI 1225673114) is an individual acute care provider in Detroit, Michigan, licensed in Michigan (4704289739) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225673114
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMARLON NICDAO
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing Address4700 Greenfield Rd Ste 2eDearborn, MI 48126-4124 · (313) 740-1111
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 14, 2019
NPI 1225673114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704289739
3990 JOHN R ST, Detroit, MI 48201

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

Marlon Nicdao 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 ID6002240637
PECOS Enrollment IDI20200107001309
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 3

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 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.
32 services20 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
19 services18 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.62
Promoting Interoperability100
Improvement Activities40
Cost100

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 Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201

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 Marlon Nicdao's NPI number?

The NPI number for Marlon Nicdao is 1225673114. It was assigned to this individual provider in the NPPES registry on November 14, 2019.

Where is Marlon Nicdao located?

Marlon Nicdao practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-8040.

What is Marlon Nicdao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Marlon Nicdao enrolled in Medicare?

Yes. Marlon Nicdao 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 Marlon Nicdao accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Marlon Nicdao 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 Marlon Nicdao affiliated with any hospitals?

According to CMS data, Marlon Nicdao is affiliated with Beaumont Hospital - Grosse Pointe and Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Marlon Nicdao was last updated on November 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.