MARC W CAMPBELL MD
NPI 1669435475
Internal Medicine in Jasper, IN

Active since April 11, 2006PECOS EnrolledAccepts Medicare Assignment
85.59/100
CMS Quality Rating
1415 TIMBER CREEK DR, JASPER, IN 47546(812) 630-9794(812) 996-0653 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 30, 2022, Aug 24, 2022 (2 updates tracked since 2022).

About Marc W Campbell Md NPPES

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

MARC W CAMPBELL MD (NPI 1669435475) is an individual internal medicine provider in Jasper, Indiana, licensed in Indiana (01036961A) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1669435475
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARC W CAMPBELLCredential: MD
Location Address1415 TIMBER CREEK DRJasper, IN 47546-1413
Mailing AddressPo Box 3276Evansville, IN 47731-3276 · (812) 473-0181 · Fax (812) 473-5822
Fax(812) 996-0653
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 1982
Enumeration DateApril 11, 2006
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
NPI 1669435475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01036961A
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1415 TIMBER CREEK DR, Jasper, IN 47546

Secondary Practice Locations 3

Location 12515 Newton StJasper, IN 47546-1329 · Phone (812) 630-9794
Location 2802 E 10th StFerdinand, IN 47532-9239 · Phone (812) 630-9794
Location 31111 Church AveJasper, IN 47546-3761 · Phone (812) 630-9794

Other Identifiers 4

Other000000537927IN · Anthem Pin
Medicaid100338320IN
Other250470IN · Medicare Group
Other200859330CIN · Medicaid Group

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

Marc W Campbell 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 ID143318584
PECOS Enrollment IDI20071119000033
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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
283 services91 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
130 services55 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
97 services94 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
95 services42 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.
88 services88 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
64 services64 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150115
Location800 W 9th StJasper, IN 47546 · Dubois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47546 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

85.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.96
Promoting Interoperability100
Improvement Activities40
Cost69

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
12 suppliers44 claims82 services$6.12 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers14 claims18 services$1.03 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$35.07 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers20 claims3,068 services$0.03 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers13 claims1,560 services$0.09 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers18 claims1,224 services$0.62 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marc Campbell's NPI number?

The NPI number for Marc Campbell is 1669435475. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Marc Campbell located?

Marc Campbell practices at 1415 Timber Creek Dr, Jasper, IN 47546. The listed phone number is (812) 630-9794.

What is Marc Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Campbell enrolled in Medicare?

Yes. Marc Campbell 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 Marc Campbell accept?

Health plans from CareSource list Marc Campbell 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 Marc Campbell affiliated with any hospitals?

According to CMS data, Marc Campbell is affiliated with Memorial Hospital And Health Care Center.

When was this NPI record last updated?

The NPPES record for Marc Campbell was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.