DR. MARK E. MICHAUD M.D.
NPI 1588643597
Family Medicine in Warrenton, VA

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
75 W LEE HWY, WARRENTON, VA 20186(540) 351-0662(540) 351-0664 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 5, 2026, Dec 29, 2021, Oct 13, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Mark E. Michaud M.d. NPPES

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

DR. MARK E. MICHAUD M.D. (NPI 1588643597) is an individual family medicine provider in Warrenton, Virginia, licensed in Virginia (0101256394) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1588643597
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARK E. MICHAUDCredential: M.D.
Location Address75 W LEE HWYWarrenton, VA 20186-2149
Mailing Address75 W Lee HwyWarrenton, VA 20186-2149 · (540) 351-0662 · Fax (540) 351-0664
Fax(540) 351-0664
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 10, 2006
Last NPPES UpdateAugust 5, 20265 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1588643597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in VA · 0101256394✔ Licensed in NC · 2017-00185
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
75 W LEE HWY, Warrenton, VA 20186

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

Dr. Mark E. Michaud 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 ID6406072743
PECOS Enrollment IDI20140926000660
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

4

Medicare enrollment records show Mark Michaud reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
75 W LEE HWY
Warrenton, VA 20186
  • Reassigned Medicare billing, Virginia enrollment
  • 20 clinicians in this Medicare group
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
Family Medicine
480 RUIN CREEK RD
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
Family Medicine
118 MEMORIAL DR
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 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 3

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 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.
23 services23 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
16 services16 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20186 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$13.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Primary Care)
75 W LEE HWY
WARRENTON, VA 20186
Internal Medicine
75 W LEE HWY
WARRENTON, VA 20186
Clinic/Center (Urgent Care)
75 W LEE HWY
WARRENTON, VA 20186
Nurse Practitioner (Family)
75 W LEE HWY
WARRENTON, VA 20186
Nurse Practitioner (Family)
75 W LEE HWY
WARRENTON, VA 20186
Physician Assistant
75 W LEE HWY
WARRENTON, VA 20186
Clinic/Center (Urgent Care)
75 W LEE HWY
WARRENTON, VA 20186
Obstetrics & Gynecology
75 W LEE HWY
WARRENTON, VA 20186

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 Mark Michaud's NPI number?

The NPI number for Mark Michaud is 1588643597. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Mark Michaud located?

Mark Michaud practices at 75 W Lee Hwy, Warrenton, VA 20186. The listed phone number is (540) 351-0662.

What is Mark Michaud's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mark Michaud enrolled in Medicare?

Yes. Mark Michaud 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 Mark Michaud's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Michaud reassigns Medicare benefits to 4 organizations: Dmv Urgent Care LLC (Warrenton, VA), Privia Medical Group, LLC (Arlington, VA), Duke University Affiliated Physicians, Inc. (Henderson, NC) and Jacksonville Children's And Multispecialty Clinic, PA (Jacksonville, NC). 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 Mark Michaud's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Michaud accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and Oscar Health list Mark Michaud 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.

When was this NPI record last updated?

The NPPES record for Mark Michaud was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.