NATHAN EVIN MARSHALL M.D.
NPI 1548529639
Orthopaedic Surgery in Rochester, MI

Q: What is Nathan Marshall's NPI number?

The NPI number for Nathan Marshall is 1548529639. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Q: What is Nathan Marshall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathan Marshall was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 09, 2012PECOS EnrolledAccepts Medicare Assignment

78.01/100

CMS Quality Rating

1135 W UNIVERSITY DR STE 450, ROCHESTER, MI 48307(248) 650-2400(248) 650-4596 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nathan Evin Marshall M.d. NPPES

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

NATHAN EVIN MARSHALL M.D. (NPI 1548529639) is an individual orthopaedic surgery provider in Rochester, Michigan, licensed in Michigan (5401100910) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and is a graduate of Wayne State University School Of Medicine (2012).

NPPES Registry Identity

NPI1548529639

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameNATHAN EVIN MARSHALLCredential: M.D.

Location Address1135 W UNIVERSITY DR STE 450Rochester, MI 48307

Mailing Address1135 W University Dr Ste 450Rochester, MI 48307-1871 · (248) 650-2400 · Fax (248) 650-4596

Phone(248) 650-2400

Fax(248) 650-4596

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2012

Enumeration DateMay 9, 2012

Last NPPES UpdateMay 31, 2018

✔ NPI 1548529639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MI · 5401100910

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 4301100910 (MI)

1135 W UNIVERSITY DR STE 450, Rochester, MI 48307

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Evin Marshall M.d. 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 ID5799917605

PECOS Enrollment IDI20170824001642, I20180628003135

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

Medicare enrollment records show Nathan Marshall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health Rochester Hospital

0.1 mi

Family Medicine

1101 W UNIVERSITY DR
Rochester, MI 48307

Reassigned Medicare billing, Michigan enrollment
66 clinicians in this Medicare group

NPI 1184747263 (248) 652-5000

Ascension Medical Group Michigan

11 mi

Internal Medicine

15855 19 MILE RD
Clinton Township, MI 48038

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Henry Ford Semi Medical Group
101 clinicians in this Medicare group

NPI 1255378139 (248) 680-8000

Henry Ford Health River District Hospital

20 mi

Family Medicine

31505 32 MILE ROAD
Richmond, MI 48062

Reassigned Medicare billing, Michigan enrollment
30 clinicians in this Medicare group

NPI 1093823197 (586) 727-5788

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 13

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, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

89 services18 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.

51 services41 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

49 services42 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.

45 services41 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

43 services38 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.

27 services27 patients

X-ray of shoulder, minimum of 2 views 73030

22 services20 patients

Aspiration and/or injection of fluid from large joint 20610

21 services19 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

18 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

17 services17 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

12 services11 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.

12 services12 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230165

Location22101 Moross RdDetroit, MI 48236 · Wayne County

Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230254

Location1101 W University DriveRochester, MI 48307 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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

$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.

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.

78.01/100

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

Scored as part of a group practice

Quality

86.01

Promoting Interoperability

Improvement Activities

Cost

42.38

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

48%244 patients3/55-star benchmark: 87%

Documentation of Current Medications in the Medical Record

89%1,083 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

40%103 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

54%717 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

32%695 patients2/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

0%769 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 52% · 614 patients

Patients screened: 55% · 614 patients

59%41 patients3/55-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 13

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

DR. ROBERT G. DEKKER II M.D.

Orthopaedic Surgery

1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

Oakland County (248) 650-2400

ANGELA MARIE SLESSOR DPT

Physical Therapist

1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

Oakland County (248) 650-2400

MRS. SHAUNNAH E ANDERSON PA-C

Physician Assistant

1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

Oakland County (248) 650-2400

JACLYN NOTARBERARDINO PA

Physician Assistant

1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

Oakland County (248) 650-1871

BRITTNEY BRINER DPT

Physical Therapist

1135 W UNIVERSITY DR STE 450
ROCHESTER HILLS, MI 48307

Oakland County (248) 650-2400

TIMOTHY DEKKER MD

Family Medicine (Sports Medicine)

1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

Oakland County (248) 650-2400

DR. JOHN ERNEST LAMACCHIA M.D.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

Oakland County (248) 650-2400

EWA PLUSZCZYK P.T.

Physical Therapist

1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

Oakland County (248) 650-2400

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 Nathan Marshall's NPI number?

The NPI number for Nathan Marshall is 1548529639. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Nathan Marshall located?

Nathan Marshall practices at 1135 W University Dr Ste 450, Rochester, MI 48307. The listed phone number is (248) 650-2400.

What is Nathan Marshall's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nathan Marshall enrolled in Medicare?

Yes. Nathan Marshall 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 Nathan Marshall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Marshall reassigns Medicare benefits to 3 organizations: Henry Ford Health Rochester Hospital (Rochester, MI), Ascension Medical Group Michigan (Clinton Township, MI) and Henry Ford Health River District Hospital (Richmond, 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 Nathan Marshall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Marshall 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 Nathan Marshall 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 Nathan Marshall affiliated with any hospitals?

According to CMS data, Nathan Marshall is affiliated with Ascension St John Hospital and Ascension Providence Rochester Hospital.

When was this NPI record last updated?

The NPPES record for Nathan Marshall was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.