DR. MARK RYAN NIKKEL DO
NPI 1699762336
Orthopaedic Surgery in South Haven, MI

Active since September 27, 2005PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
955 S BAILEY AVE, SOUTH HAVEN, MI 49090(269) 637-5271(269) 639-2818 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2020, Mar 4, 2016 (2 updates tracked since 2016).

About Dr. Mark Ryan Nikkel Do NPPES

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

DR. MARK RYAN NIKKEL DO (NPI 1699762336) is an individual orthopaedic surgery provider in South Haven, Michigan, licensed in Illinois (36100980) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1699762336
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK RYAN NIKKELCredential: DO
Location Address955 S BAILEY AVESouth Haven, MI 49090-6743
Mailing Address955 S Bailey AveSouth Haven, MI 49090-6743 · (269) 637-5271 · Fax (269) 639-2818
Fax(269) 639-2818
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 27, 2005
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2020
NPI 1699762336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IL · 36100980
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.

955 S BAILEY AVE, South Haven, MI 49090

Other Identifiers 4

Other1023138633IL · Group Npi Number
Other31622992IL · Bcbs
Other036-100980IL · State License Number
Medicaid036100980IL

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

Dr. Mark Ryan Nikkel 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 ID1759478928
PECOS Enrollment IDI20150929001808
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 6

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 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.
110 services70 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.
105 services57 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
50 services31 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.
38 services29 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.
33 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230017
Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Bronson South Haven Hospital

Acute Care Hospitals · South Haven, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230085
Location955 S Bailey AveSouth Haven, MI 49090 · Van Buren County
Emergency services

Bronson Lakeview Hospital

Critical Access Hospitals · Paw Paw, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231332
Location408 Hazen StreetPaw Paw, MI 49079 · Van Buren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49090 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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.73
Promoting Interoperability100
Improvement Activities40
Cost16.86

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.

Registered Nurse (Ambulatory Care)
955 S BAILEY AVE
SOUTH HAVEN, MI 49090
Physician Assistant
955 S BAILEY AVE
SOUTH HAVEN, MI 49090
Pediatrics
955 S BAILEY AVE, SUITE 2-1
SOUTH HAVEN, MI 49090
Family Medicine
955 S BAILEY AVE
SOUTH HAVEN, MI 49090
Dietitian, Registered
955 S BAILEY AVE
SOUTH HAVEN, MI 49090
Obstetrics & Gynecology
955 S BAILEY AVE, SUITE 250
SOUTH HAVEN, MI 49090
Physical Therapist
955 S BAILEY AVE
SOUTH HAVEN, MI 49090
Nurse Practitioner (Family)
955 S BAILEY AVE
SOUTH HAVEN, MI 49090

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 Nikkel's NPI number?

The NPI number for Mark Nikkel is 1699762336. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Mark Nikkel located?

Mark Nikkel practices at 955 S Bailey Ave, South Haven, MI 49090. The listed phone number is (269) 637-5271.

What is Mark Nikkel's specialty?

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

Is Mark Nikkel enrolled in Medicare?

Yes. Mark Nikkel 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 Nikkel accept?

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

According to CMS data, Mark Nikkel is affiliated with Bronson Methodist Hospital, Corewell Health Watervliet Hospital, Bronson South Haven Hospital and Bronson Lakeview Hospital.

When was this NPI record last updated?

The NPPES record for Mark Nikkel was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.