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DR. MARCUS E DEGRAW MD
NPI 1750375002
Pediatrics in Detroit, MI

Active since September 01, 2005PECOS Enrolled
22201 MOROSS RD, 270, DETROIT, MI 48236(313) 343-3481(313) 343-7937 Get Directions Write a Review

NPPES record last updated: November 29, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Marcus E Degraw Md NPPES

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

DR. MARCUS E DEGRAW MD (NPI 1750375002) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301074121) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750375002
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. MARCUS E DEGRAWCredential: MD
Location Address22201 MOROSS RD, 270Detroit, MI 48236-2169
Mailing Address22201 Moross Rd, Suite 270Detroit, MI 48236-2169 · (313) 343-3481 · Fax (313) 343-7937
Phone(313) 343-3481
Fax(313) 343-7937
Sole ProprietorNo
Enumeration DateSeptember 1, 2005
Last NPPES UpdateNovember 29, 2012
✔ NPI 1750375002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301074121
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
22201 MOROSS RD, Detroit, MI 48236
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Other Identifiers 3

Medicare ID-Type UnspecifiedM71670
Medicare UPINH67991
Medicaid4517317MI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marcus E Degraw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marcus Degraw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension St John Hospital
Same address
Neurology
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health St. John Hospital
  • 520 clinicians in this Medicare group
NPI 1023149473 (586) 753-0011
Beaumont Medical Group- Specialty Services
15 mi
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group
NPI 1578072906 (248) 898-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48236 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.

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
26%173 patients2/55-star benchmark: 95%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%41 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%822 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
76%149 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%121 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%2,134 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
80%50 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
56%352 patients3/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%2,134 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%2,134 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
26%2,134 patients
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 85% · 1,222 patients
Patients physicalActivity: 85% · 1,222 patients
94%1,222 patients
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.

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.

RUDOLPH MENCHL JR. MD
Internal Medicine
22201 MOROSS RD, SUITE 150
DETROIT, MI 48236
Wayne County (313) 886-8787
DR. SAJITHAA VARADARASA M.D.
Student in an Organized Health Care Education/Training Program
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
DEEPAK GOPALBHAI PATEL MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
DR. ANDREY ALEX VOLKOV D.O
Neurological Surgery
22201 MOROSS RD, SUITE 352
DETROIT, MI 48236
Wayne County (313) 343-7900
JOHN THOMAS ADAMS MD
Pediatrics (Neonatal-Perinatal Medicine)
22201 MOROSS RD, 270
DETROIT, MI 48236
Wayne County (313) 343-3481
ST. JOHN HOSPITAL & MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
ST. JOHN HOSPITAL AND MEDICAL CENTER
General Acute Care Hospital
22201 MOROSS RD, PROFESSIONAL BUILDING TWO, SUITE 50
DETROIT, MI 48236
Wayne County (313) 343-7774
NATALIE RENEE KONTOS DO
Pediatrics
22201 MOROSS RD, PROFESSIONAL BUILDING 2, SUITE 70
DETROIT, MI 48236
Wayne County (313) 343-4279

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 Marcus Degraw's NPI number?

The NPI number for Marcus Degraw is 1750375002. It was assigned to this individual provider in the NPPES registry on September 1, 2005.

Where is Marcus Degraw located?

Marcus Degraw practices at 22201 Moross Rd 270, Detroit, MI 48236. The listed phone number is (313) 343-3481.

What is Marcus Degraw's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marcus Degraw enrolled in Medicare?

Yes. Marcus Degraw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marcus Degraw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcus Degraw reassigns Medicare benefits to 2 organizations: Ascension St John Hospital (Detroit, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marcus Degraw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcus Degraw 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 1 other insurer list Marcus Degraw 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.

When was this NPI record last updated?

The NPPES record for Marcus Degraw was last updated on November 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.