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MARK GARBEK PA
NPI 1679104624
Physician Assistant in Bloomington, IL

Active since January 29, 2020PECOS EnrolledAccepts Medicare Assignment
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701(309) 662-3311 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2022, Jan 29, 2020 (2 updates tracked since 2020).

About Mark Garbek Pa NPPES

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

MARK GARBEK PA (NPI 1679104624) is an individual physician assistant in Bloomington, Illinois, licensed in Michigan (5601009691) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1679104624
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK GARBEKCredential: PA
Location Address2200 E WASHINGTON STBloomington, IL 61701-4364
Mailing Address5783 Zimmer RdWilliamston, MI 48895-9474 · (517) 290-9359
Phone(309) 662-3311
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 29, 2020
Last NPPES UpdateAugust 30, 20222 updates tracked since enumeration
NPPES CertifiedAugust 30, 2022
✔ NPI 1679104624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MI · 5601009691✔ Licensed in IL · 085007390
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2200 E WASHINGTON ST, Bloomington, IL 61701
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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 Garbek Pa 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 ID4587092879
PECOS Enrollment IDI20220906000383
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
181 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
147 services93 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
89 services87 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients

Hospital Affiliations CMS Care Compare

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

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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
1 supplier19 claims19 services$16.72 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 suppliers21 claims21 services$86.81 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.

KRISTA ELISABETH BAJJALIEH OTR/L
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
CRYSTAL LAMONT DNP, CRNA
Nurse Anesthetist, Certified Registered
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
DR. RICHARD SABBUN M.D.
Emergency Medicine (Emergency Medical Services)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 665-5925
BAILEY WILSON
Occupational Therapist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-6275
MR. MICHAEL DANTI NOVARIO R.PH.
Pharmacist
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 661-5191
MS. NARUMON HONGRATTANAVORAKIT
Technician, Other
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-5190
YUWADEE H JOHNSON PHARMACY INTERN
Pharmacy Technician
2200 E WASHINGTON ST, ST.JOSEPH MEDICAL CENTER
BLOOMINGTON, IL 61701
McLean County (309) 662-3311
TERRY M BRADY MD
Radiology (Vascular & Interventional Radiology)
2200 E WASHINGTON ST
BLOOMINGTON, IL 61701
McLean County (309) 662-3311

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 Garbek's NPI number?

The NPI number for Mark Garbek is 1679104624. It was assigned to this individual provider in the NPPES registry on January 29, 2020.

Where is Mark Garbek located?

Mark Garbek practices at 2200 E Washington St, Bloomington, IL 61701. The listed phone number is (309) 662-3311.

What is Mark Garbek's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Garbek enrolled in Medicare?

Yes. Mark Garbek 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 Garbek accept?

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

According to CMS data, Mark Garbek is affiliated with Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Mark Garbek 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.