DR. MARK P. KARCHON D.O.
NPI 1699861088
Family Medicine in Commerce Township, MI

Q: What is Mark Karchon's NPI number?

The NPI number for Mark Karchon is 1699861088. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Mark Karchon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Karchon was last updated on November 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

2455 UNION LAKE RD, SUITE 101, COMMERCE TOWNSHIP, MI 48382(248) 360-6000(248) 360-6040 Get Directions Write a Review

NPPES record last updated: November 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mark P. Karchon D.o. NPPES

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

DR. MARK P. KARCHON D.O. (NPI 1699861088) is an individual family medicine provider in Commerce Township, Michigan, licensed in Michigan (MK008912) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Ohio University, College Of Osteopathic Medicine (1984).

NPPES Registry Identity

NPI1699861088

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARK P. KARCHONCredential: D.O.

Location Address2455 UNION LAKE RD, SUITE 101Commerce Township, MI 48382-3554

Mailing AddressPo Box 674852Detroit, MI 48267-4852 · (248) 360-6000 · Fax (248) 360-6040

Phone(248) 360-6000

Fax(248) 360-6040

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1984

Enumeration DateOctober 5, 2006

Last NPPES UpdateNovember 11, 2014

✔ NPI 1699861088 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 · MK008912

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.

2455 UNION LAKE RD, Commerce Township, MI 48382

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Other Identifiers 5

OtherP00095533Railroad Medicare

Medicaid113028319MI

Medicare PINP35120143MI

Other0156336445MI · Bcbs

Medicare UPINE26382

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 P. Karchon D.o. 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 ID7315912417

PECOS Enrollment IDI20090615000345

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 15

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.

235 services137 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.

174 services174 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.

157 services138 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.

104 services104 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

87 services51 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

72 services42 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

64 services64 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

55 services55 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

40 services34 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

23 services22 patients

Transitional care management services for problem of high complexity 99496

Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.

20 services17 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

18 services17 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

15 services15 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

14 services14 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230029

Location44405 Woodward AvePontiac, MI 48341 · Oakland County

Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230207

Location50 N Perry StPontiac, MI 48342 · Oakland County

Emergency services

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number230277

LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County

Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230302

Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48382 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

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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 7

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

8 suppliers34 claims93 services$5.61 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers14 claims17 services$0.90 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

3 suppliers23 claims23 services$67.39 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers22 claims22 services$29.79 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

5 suppliers17 claims5,366 services$0.03 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

4 suppliers12 claims990 services$0.70 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

DMC BILLING ASSOCIATES, LLC

Family Medicine

2455 UNION LAKE RD, SUITE 101
COMMERCE TWP, MI 48382

Oakland County (248) 360-6000

UNION LAKE PHYSICAL REHABILITATION, LLC

Physical Medicine & Rehabilitation

2455 UNION LAKE RD
COMMERCE TWP, MI 48382

Oakland County (248) 242-6025

MARK P. KARCHON DO, PC

Family Medicine

2455 UNION LAKE RD, SUITE 101
COMMERCE TOWNSHIP, MI 48382

Oakland County (248) 360-6000

BJP2 INC

Pharmacy (Community/Retail Pharmacy)

2455 UNION LAKE RD
COMMERCE TOWNSHIP, MI 48382

Oakland County (248) 694-8220

HEIDI CLARK P.T.

Physical Therapist

2455 UNION LAKE RD
COMMERCE TWP, MI 48382

Oakland County (248) 363-1234

DAVID MACHNACKI DO

Family Medicine

2455 UNION LAKE RD, SUITE 101
COMMERCE TWP, MI 48382

Oakland County (248) 360-6000

ALISON DAVIS PT, DPT

Physical Therapist

2455 UNION LAKE RD
COMMERCE TOWNSHIP, MI 48382

Oakland County (248) 353-1234

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 Karchon's NPI number?

The NPI number for Mark Karchon is 1699861088. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Mark Karchon located?

Mark Karchon practices at 2455 Union Lake Rd Suite 101, Commerce Township, MI 48382. The listed phone number is (248) 360-6000.

What is Mark Karchon's specialty?

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

Is Mark Karchon enrolled in Medicare?

Yes. Mark Karchon 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 Karchon 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 Mark Karchon 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 Karchon affiliated with any hospitals?

According to CMS data, Mark Karchon is affiliated with Trinity Health Oakland Hospital, Henry Ford Health Hospital, Mclaren Oakland, Huron Valley-Sinai Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Mark Karchon was last updated on November 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.