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MARK A MIKULA M.D.
NPI 1619973153
Emergency Medicine - Emergency Medical Services in Traverse City, MI

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
87.44/100
CMS Quality Rating
1105 6TH ST, TRAVERSE CITY, MI 49684(231) 947-0673(801) 740-2847 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 19, 2024, Sep 23, 2021, Jul 27, 2021 (3 updates tracked since 2021).

About Mark A Mikula M.d. NPPES

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

MARK A MIKULA M.D. (NPI 1619973153) is an individual emergency medical services provider in Traverse City, Michigan, licensed in Michigan (4301068135) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of University Of Michigan Medical School (1996).

NPPES Registry Identity

NPI1619973153
Entity TypeIndividualMale
Primary Taxonomy207PE0004X
Provider Legal NameMARK A MIKULACredential: M.D.
Location Address1105 6TH STTraverse City, MI 49684-2349
Mailing Address4624 N Spider Lake RdTraverse City, MI 49696-8440 · (231) 947-0673 · Fax (801) 740-2847
Phone(231) 947-0673
Fax(801) 740-2847
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1996
Enumeration DateJune 21, 2005
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1619973153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in MI · 4301068135
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
1105 6TH ST, Traverse City, MI 49684
Open in Google Maps ↗

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 A Mikula 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 ID3870751928
PECOS Enrollment IDI20120221000972
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
304 services294 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
295 services264 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
117 services115 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services91 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

87.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities0
Cost90.14

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
56%382 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
41%763 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
85%248 patients4/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
56%641 patients3/55-star benchmark: 90%
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 20

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

ADVANCED WOUND CARE & HYPERBARIC PHYSICIANS OF TRAVERSE CITY, PLC
Emergency Medicine
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673
BEVIN CLAYTON DO
Emergency Medicine
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673
TRAVERSE ANESTHESIA ASSOCIATES, PC
Anesthesiology (Pain Medicine)
1105 6TH ST, MUNSON MEDICAL CENTER/TRAVERSE ANESTHESIA ASSOCIATES, P
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5770
MR. DONALD EDWARD ROUTZAHN RPH
Pharmacist
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-5000
DR. PHILIP MICHAEL DIMONDO PHARMD
Pharmacist
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6559
NATALIE C CREW RD
Dietitian, Registered
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-6447
KARLA A FISHBURN RN
Registered Nurse
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 935-3321
DALE C BLUM M.D.
Emergency Medicine (Emergency Medical Services)
1105 6TH ST
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 947-0673

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 Mikula's NPI number?

The NPI number for Mark Mikula is 1619973153. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Mark Mikula located?

Mark Mikula practices at 1105 6th St, Traverse City, MI 49684. The listed phone number is (231) 947-0673.

What is Mark Mikula's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Mark Mikula enrolled in Medicare?

Yes. Mark Mikula 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 Mark Mikula accept?

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

According to CMS data, Mark Mikula is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Mikula was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.