Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. CALEB MARKUSIC PA-C
NPI 1538628607
Physician Assistant in Youngstown, OH

Q: What is Caleb Markusic's NPI number?

The NPI number for Caleb Markusic is 1538628607. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Q: What is Caleb Markusic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Markusic was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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 March 18, 2019PECOS EnrolledAccepts Medicare Assignment

7630 SOUTHERN BLVD, YOUNGSTOWN, OH 44512(330) 729-8000(330) 758-5362 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 3, 2026, May 28, 2026, Jun 6, 2024 and 4 more (7 updates tracked since 2019).

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About Mr. Caleb Markusic Pa-c NPPES

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

MR. CALEB MARKUSIC PA-C (NPI 1538628607) is an individual physician assistant in Youngstown, Ohio, licensed in Ohio (50.006406RX) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1538628607

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. CALEB MARKUSICCredential: PA-C

Location Address7630 SOUTHERN BLVDYoungstown, OH 44512-5633

Mailing Address100 Debartolo Pl Ste 200Youngstown, OH 44512-6095 · (330) 797-0070 · Fax (330) 729-8084

Phone(330) 729-8000

Fax(330) 758-5362

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 18, 2019

Last NPPES UpdateAugust 3, 20267 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1538628607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.006406RX

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 50.006406RX (OH)

7630 SOUTHERN BLVD, Youngstown, OH 44512

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Other Identifiers 1

Medicaid0408920OH

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

Mr. Caleb Markusic Pa-c 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 ID5193059483

PECOS Enrollment IDI20200707003207

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 2

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.

22 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

PAMELA SMITH

Nurse Practitioner (Adult Health)