FRANK LA MARCA MD
NPI 1548367808
Neurological Surgery in Ann Arbor, MI

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G, ANN ARBOR, MI 48109(734) 936-7010 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Frank La Marca Md NPPES

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

FRANK LA MARCA MD (NPI 1548367808) is an individual neurological surgery provider in Ann Arbor, Michigan, licensed in Michigan (4301081811) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1548367808
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameFRANK LA MARCACredential: MD
Location Address1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP GAnn Arbor, MI 48109-0338
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1548367808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in MI · 4301081811
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48109

Other Identifiers 2

Medicaid4523753MI
Medicare UPINH89685MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Frank La Marca Md 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 ID1052452083
PECOS Enrollment IDI20100112000721
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Frank La Marca reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 474 clinicians in this Medicare group
Neurological Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
78 services27 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.
69 services66 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
55 services37 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
40 services40 patients
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.
38 services35 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.
37 services37 patients

Hospital Affiliations CMS Care Compare 4

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

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

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.

Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Anesthesiology
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Physician Assistant
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP F
ANN ARBOR, MI 48109
Nurse Practitioner
1500 EAST MEDICAL CENTER DR, 3RD FLOOR C.S. MOTT CHILDREN'S HOSPITAL RECP C
ANN ARBOR, MI 48109
Nurse Practitioner (Critical Care Medicine)
1500 EAST MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48109
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN RECP B
ANN ARBOR, MI 48109
Pediatrics (Pediatric Hematology-Oncology)
1500 EAST MEDICAL CENTER DR, 7TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48109

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 Frank La Marca's NPI number?

The NPI number for Frank La Marca is 1548367808. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Frank La Marca located?

Frank La Marca practices at 1500 East Medical Center Dr 2nd Floor Taubman Ctr Recp G, Ann Arbor, MI 48109. The listed phone number is (734) 936-7010.

What is Frank La Marca's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Frank La Marca enrolled in Medicare?

Yes. Frank La Marca 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.

Which organizations bill Medicare for Frank La Marca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Frank La Marca reassigns Medicare benefits to 2 organizations: W.A. Foote Memorial Hospital (Jackson, MI) and Henry Ford Health System (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Frank La Marca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Frank La Marca 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 1 other insurer list Frank La Marca 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 Frank La Marca affiliated with any hospitals?

According to CMS data, Frank La Marca is affiliated with Henry Ford Health Hospital, Henry Ford Allegiance Health, Mclaren Greater Lansing and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Frank La Marca was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.