DAVID C MARKEL MD
NPI 1689644023
Orthopaedic Surgery in Southfield, MI

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
91.14/100
CMS Quality Rating
22250 PROVIDENCE DR, SUITE 401, SOUTHFIELD, MI 48075(866) 974-2673(266) 939-2673 Get Directions Write a Review

NPPES record last updated: January 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David C Markel Md NPPES

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

DAVID C MARKEL MD (NPI 1689644023) is an individual orthopaedic surgery provider in Southfield, Michigan, licensed in Michigan (4301053633) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of University Of Michigan Medical School (1988).

NPPES Registry Identity

NPI1689644023
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID C MARKELCredential: MD
Location Address22250 PROVIDENCE DR, SUITE 401Southfield, MI 48075-4825
Mailing Address18444 N 25th Ave, Ste 310Phoenix, AZ 85023-1261 · (866) 974-2673 · Fax (866) 939-2673
Fax(266) 939-2673
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1988
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJanuary 17, 2014
NPI 1689644023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 4301053633
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
22250 PROVIDENCE DR, Southfield, MI 48075

Other Identifiers 2

Medicare UPINF79554MI
Medicaid3331034MI

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

David C Markel 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 ID446343123
PECOS Enrollment IDI20100105000658
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 20

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,632 services143 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.
213 services186 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
194 services149 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
177 services131 patients
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.
124 services95 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
119 services110 patients

Hospital Affiliations CMS Care Compare

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

91.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality74.23
Promoting Interoperability100
Improvement Activities40
Cost96.23

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
60%951 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
0%51 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%2,726 patients4/55-star benchmark: 100%
e-Prescribing
99%137 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,096 patients1/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
11%65 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,965 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,455 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 1,241 patients
Patients screened: 100% · 1,241 patients
100%79 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,511 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
0%616 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
85%55 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,124 patients
Patients totalRate: 3% · 1,124 patients
3%1,124 patients4/55-star benchmark: 100%
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.

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.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
13 suppliers24 claims24 services$41.92 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
6 suppliers30 claims30 services$114.68 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.

Pharmacist
22250 PROVIDENCE DR
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075
Colon & Rectal Surgery
22250 PROVIDENCE DR, SUITE 208
SOUTHFIELD, MI 48075
Internal Medicine (Gastroenterology)
22250 PROVIDENCE DR, SUITE 703
SOUTHFIELD, MI 48075
Orthopaedic Surgery
22250 PROVIDENCE DR, SUITE 401
SOUTHFIELD, MI 48075
Psychologist (Clinical)
22250 PROVIDENCE DR, SUITE 207
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DR, SUITE 500
SOUTHFIELD, MI 48075
Colon & Rectal Surgery
22250 PROVIDENCE DR, STE #702
SOUTHFIELD, MI 48075

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 David Markel's NPI number?

The NPI number for David Markel is 1689644023. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is David Markel located?

David Markel practices at 22250 Providence Dr Suite 401, Southfield, MI 48075. The listed phone number is (866) 974-2673.

What is David Markel's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Markel enrolled in Medicare?

Yes. David Markel 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 David Markel accept?

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

According to CMS data, David Markel is affiliated with Ascension Providence Hospital, Southfield And Novi.

When was this NPI record last updated?

The NPPES record for David Markel was last updated on January 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.