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

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: August 02, 2026.

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 Henry Ford Macomb 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, and ordering and referring status from the CMS PECOS system.

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.

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

Hospital Affiliations CMS Care Compare 4

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

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

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
Quality86.01
Promoting Interoperability98
Improvement Activities40
Cost42.38

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.

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 2 other insurers 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 Henry Ford Macomb Hospital, Beaumont Hospital Royal Oak, 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.