MARILYN STAINES DO
NPI 1649320433
Family Medicine in Saginaw, MI

Active since January 12, 2007PECOS EnrolledAccepts Medicare Assignment
5570 STATE ST, SAGINAW, MI 48603(989) 583-0100(989) 583-0108 Get Directions Write a Review

NPPES record last updated: March 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marilyn Staines Do NPPES

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

MARILYN STAINES DO (NPI 1649320433) is an individual family medicine provider in Saginaw, Michigan, licensed in Michigan (5101012803) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1995).

NPPES Registry Identity

NPI1649320433
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARILYN STAINESCredential: DO
Location Address5570 STATE STSaginaw, MI 48603-3583
Mailing Address1447 N Harrison StSaginaw, MI 48602-4727 · (989) 583-0100 · Fax (989) 583-0108
Fax(989) 583-0108
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1995
Enumeration DateJanuary 12, 2007
Last NPPES UpdateMarch 21, 2022
NPPES CertifiedMarch 21, 2022
NPI 1649320433 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 · 5101012803
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.
5570 STATE ST, Saginaw, MI 48603

Accepted 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

Marilyn Staines Do 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 ID244287324
PECOS Enrollment IDI20050331000760
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.

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.
80 services56 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.
48 services36 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.
13 services13 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48603 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$16.14 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
2 suppliers12 claims12 services$77.06 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 20

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

Nurse Practitioner (Family)
5570 STATE ST
SAGINAW, MI 48603
Family Medicine
5570 STATE ST
SAGINAW, MI 48603
Family Medicine
5570 STATE ST
SAGINAW, MI 48603
Nurse Practitioner (Family)
5570 STATE ST
SAGINAW, MI 48603
Nurse Practitioner (Adult Health)
5570 STATE ST
SAGINAW, MI 48603
Nurse Practitioner (Family)
5570 STATE ST
SAGINAW, MI 48603
Nurse Practitioner (Family)
5570 STATE ST
SAGINAW, MI 48603
Nurse Practitioner (Family)
5570 STATE ST
SAGINAW, MI 48603

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 Marilyn Staines's NPI number?

The NPI number for Marilyn Staines is 1649320433. It was assigned to this individual provider in the NPPES registry on January 12, 2007.

Where is Marilyn Staines located?

Marilyn Staines practices at 5570 State St, Saginaw, MI 48603. The listed phone number is (989) 583-0100.

What is Marilyn Staines's specialty?

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

Is Marilyn Staines enrolled in Medicare?

Yes. Marilyn Staines 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 Marilyn Staines 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 Marilyn Staines 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 Marilyn Staines affiliated with any hospitals?

According to CMS data, Marilyn Staines is affiliated with Mclaren Bay Region.

When was this NPI record last updated?

The NPPES record for Marilyn Staines was last updated on March 21, 2022. 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.