MARSHA BILLES DO
NPI 1376679399
Family Medicine in Northville, MI

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
422 N CENTER ST, NORTHVILLE, MI 48167(248) 348-1131(248) 348-1170 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marsha Billes Do NPPES

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

MARSHA BILLES DO (NPI 1376679399) is an individual family medicine provider in Northville, Michigan, licensed in Michigan (5101010572) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Michigan State University College Of Osteopathic Medicine (1989).

NPPES Registry Identity

NPI1376679399
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARSHA BILLESCredential: DO
Location Address422 N CENTER STNorthville, MI 48167-1224
Mailing Address422 N Center StNorthville, MI 48167-1224 · (248) 348-1131 · Fax (248) 348-1170
Fax(248) 348-1170
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1989
Enumeration DateFebruary 26, 2007
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
NPI 1376679399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101010572
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
422 N CENTER ST, Northville, MI 48167

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

Marsha Billes 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 ID2365419355
PECOS Enrollment IDI20050120000987
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 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 Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48167 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.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
422 N CENTER ST
NORTHVILLE, MI 48167
Podiatrist (Foot Surgery)
422 N CENTER ST, SUITE B
NORTHVILLE, MI 48167
Obstetrics & Gynecology
422 N CENTER ST
NORTHVILLE, MI 48167
Family Medicine
422 N CENTER ST
NORTHVILLE, MI 48167
Podiatrist (Primary Podiatric Medicine)
422 N CENTER ST, SUITE B
NORTHVILLE, MI 48167
Podiatrist (Foot Surgery)
422 N CENTER ST, SUITE B
NORTHVILLE, MI 48167
Physician Assistant
422 N CENTER ST
NORTHVILLE, MI 48167
Family Medicine
422 N CENTER ST
NORTHVILLE, MI 48167

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 Marsha Billes's NPI number?

The NPI number for Marsha Billes is 1376679399. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Marsha Billes located?

Marsha Billes practices at 422 N Center St, Northville, MI 48167. The listed phone number is (248) 348-1131.

What is Marsha Billes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marsha Billes enrolled in Medicare?

Yes. Marsha Billes 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 Marsha Billes 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 Marsha Billes 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 Marsha Billes affiliated with any hospitals?

According to CMS data, Marsha Billes is affiliated with Beaumont Hospital Royal Oak and Beaumont Hospital - Farmington Hills.

When was this NPI record last updated?

The NPPES record for Marsha Billes was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.