MARCUS J MAGNUSSEN DO
NPI 1457678187
Psychiatry & Neurology - Neurology in Indianapolis, IN

Q: What is Marcus Magnussen's NPI number?

The NPI number for Marcus Magnussen is 1457678187. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Q: What is Marcus Magnussen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Magnussen was last updated on March 23, 2021. 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.

Active since April 20, 2010PECOS EnrolledAccepts Medicare Assignment

76.74/100

CMS Quality Rating

1400 N RITTER AVE STE 220, INDIANAPOLIS, IN 46219(317) 715-5600(317) 715-5618 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2021, Oct 22, 2019, Mar 4, 2019 (3 updates tracked since 2019).

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About Marcus J Magnussen Do NPPES

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

MARCUS J MAGNUSSEN DO (NPI 1457678187) is an individual neurology provider in Indianapolis, Indiana, licensed in Indiana (02004577A) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1457678187

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameMARCUS J MAGNUSSENCredential: DO

Location Address1400 N RITTER AVE STE 220Indianapolis, IN 46219-3046

Mailing Address6983 Hillsdale CtIndianapolis, IN 46250-2054 · (317) 849-8350 · Fax (317) 576-6311

Phone(317) 715-5600

Fax(317) 715-5618

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 20, 2010

Last NPPES UpdateMarch 23, 20213 updates tracked since enumeration

NPPES CertifiedMarch 23, 2021

✔ NPI 1457678187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IN · 02004577A

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1400 N RITTER AVE STE 220, Indianapolis, IN 46219

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Other Identifiers 1

Medicaid201303980IN

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

Marcus J Magnussen 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 ID3375854565

PECOS Enrollment IDI20150615000976

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

5,600 services11 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.

256 services122 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

87 services50 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 services59 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.

51 services32 patients

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

43 services26 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Health

Acute Care Hospitals · Noblesville, IN

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150059

Location395 Westfield RdNoblesville, IN 46060 · Hamilton County

Emergency services Birthing friendly

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

St Vincent Heart Center

Acute Care Hospitals · Carmel, IN

5/5 CMS rating

OwnershipProprietary

CMS Certification Number150153

Location10580 N Meridian StCarmel, IN 46290 · Hamilton County

Emergency services

Ascension St Vincent Carmel

Acute Care Hospitals · Carmel, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150157

Location13500 N Meridian StCarmel, IN 46032 · Hamilton County

Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46219 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

76.74/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.45

Promoting Interoperability

Improvement Activities

Cost

64.23

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

7%483 patients1/55-star benchmark: 100%

Dementia: Functional Status Assessment

Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months

5%92 patients1/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

84%1,226 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

31%235 patients2/55-star benchmark: 99%

MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK

Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.

58%210 patients3/55-star benchmark: 90%

Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease

Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months

45%31 patients2/55-star benchmark: 100%

Screening for Psychiatric or Behavioral Health Disorders

Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.

26%119 patients2/55-star benchmark: 100%

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 8

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

LEA N CHHIBA DO

Psychiatry & Neurology (Neurology)