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MARK W SAWKA MD
NPI 1609873496
Family Medicine in Woodhaven, MI

Active since July 07, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 23D0368678 · Microscopy
25000 HALL RD, STE 1, WOODHAVEN, MI 48183(734) 675-1280(734) 675-1678 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark W Sawka Md NPPES

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

MARK W SAWKA MD (NPI 1609873496) is an individual family medicine provider in Woodhaven, Michigan, licensed in Michigan (MS054908) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through August 31, 2026, and is affiliated with Beaumont Hospital - Dearborn.

NPPES Registry Identity

NPI1609873496
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK W SAWKACredential: MD
Location Address25000 HALL RD, STE 1Woodhaven, MI 48183-5112
Mailing Address25000 Hall Rd, Ste 1Woodhaven, MI 48183-5112 · (734) 675-1280 · Fax (734) 675-1678
Phone(734) 675-1280
Fax(734) 675-1678
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJuly 7, 2005
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1609873496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · MS054908
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.
25000 HALL RD, Woodhaven, MI 48183
Open in Google Maps ↗

Other Identifiers 12

OtherC7583M-care
Other0828138Medicare
Other080066594Railroad
Other0828138MI · Bcn
Other0108281382Bcbs
Other0H23901MI · Bc Legacy Number
Other4554977Aetna
OtherP120121Care Choices
Other2391865003Cigna
Other38-3246455Tax Id#
OtherF07916Upin
OtherMS054908St. Lic#

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Mark W Sawka 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 ID4385713866
PECOS Enrollment IDI20080523000384
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 23D0368678

Mark W Sawka MD · Woodhaven, MI
Active · expires Aug 31, 2026
CLIA Number23D0368678
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorMark W. Sawka
Laboratory Phone(734) 675-1280
Laboratory LocationMark W Sawka MD25000 Hall Road Suite #1, Woodhaven, MI 48183
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 16

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.
280 services130 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.
278 services126 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
118 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
106 services106 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
78 services48 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
75 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne 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

Henry Ford Health Wyandotte Hospital

Acute Care Hospitals · Wyandotte, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230146
Location2333 Biddle AveWyandotte, MI 48192 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48183 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers77 claims169 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers39 claims43 services$1.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$40.68 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$26.31 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$69.97 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.21 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 6

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

FRANK HARDEEP SINGH D.O.
Internal Medicine (Gastroenterology)
25000 HALL RD, SUITE 200
WOODHAVEN, MI 48183
Wayne County (734) 692-6566
MS. MARIE-SOLEIL CHANTAL SAWKA FNP
Nurse Practitioner (Family)
25000 HALL RD
WOODHAVEN, MI 48183
Wayne County (734) 675-1280
MR. CHRISTOPHER LAURA M.PT
Physical Therapist
25000 HALL RD
WOODHAVEN, MI 48183
Wayne County (734) 493-1665
CHRISTOPHER R DEANGELIS DO
Internal Medicine
25000 HALL RD, STE 1
TRENTON, MI 48183
Wayne County (734) 676-3373
CHRISTOPHER R DEANGELIS D.O
Internal Medicine
25000 HALL RD, SUITE 1
WOODHAVEN, MI 48183
Wayne County (734) 676-3373
DOWNRIVER GASTROENTEROLOGY, P.C.
Internal Medicine (Gastroenterology)
25000 HALL RD, STE 200
WOODHAVEN, MI 48183
Wayne County (734) 692-6566

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 Sawka's NPI number?

The NPI number for Mark Sawka is 1609873496. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Mark Sawka located?

Mark Sawka practices at 25000 Hall Rd Ste 1, Woodhaven, MI 48183. The listed phone number is (734) 675-1280.

What is Mark Sawka's specialty?

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

Is Mark Sawka enrolled in Medicare?

Yes. Mark Sawka 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.

Does Mark Sawka hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 23D0368678) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mark Sawka accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mark Sawka 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 Mark Sawka affiliated with any hospitals?

According to CMS data, Mark Sawka is affiliated with Beaumont Hospital - Dearborn, Beaumont Hospital Royal Oak, Henry Ford Health Wyandotte Hospital, Beaumont Hospital - Farmington Hills and Corewell Health Trenton Hospital.

When was this NPI record last updated?

The NPPES record for Mark Sawka was last updated on December 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.