JOHN-PHILLIP THOMAS MARKOVIC MD
NPI 1770903189
Internal Medicine in Niles, MI

Active since April 24, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
31 N SAINT JOSEPH AVE, NILES, MI 49120(269) 684-6777 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 14, 2023, Jun 26, 2018, May 4, 2018 and 3 more (6 updates tracked since 2017).

About John-phillip Thomas Markovic Md NPPES

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

JOHN-PHILLIP THOMAS MARKOVIC MD (NPI 1770903189) is an individual internal medicine provider in Niles, Michigan, licensed in Michigan (4301506700) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1770903189
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN-PHILLIP THOMAS MARKOVICCredential: MD
Location Address31 N SAINT JOSEPH AVENiles, MI 49120-2207
Mailing Address3170 Kettering Blvd Bldg B2ndMoraine, OH 45439-1924 · (937) 991-3191 · Fax (937) 223-9811
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2014
Enumeration DateApril 24, 2014
Last NPPES UpdateAugust 14, 20236 updates tracked since enumeration
NPPES CertifiedAugust 12, 2023
NPI 1770903189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in MI · 4301506700 Licensed in OH · 35131303
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

31 N SAINT JOSEPH AVE, Niles, MI 49120

Secondary Practice Locations 3

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 384-6800 · Fax (937) 384-6938
Location 23130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466 · Fax (937) 440-4470
Location 31 Medical Center DrMiddletown, OH 45005 · Phone (513) 705-4754 · Fax (513) 420-5156

Other Identifiers 1

Medicaid0220624OH

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

John-phillip Thomas Markovic 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 ID2163649880
PECOS Enrollment IDI20220609000436
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 27

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
692 services433 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
506 services490 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.
237 services224 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
168 services166 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
157 services156 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
126 services47 patients

Hospital Affiliations CMS Care Compare 2

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49120 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Anesthesiology
31 N SAINT JOSEPH AVE, ANESTHESIA DEPARTMENT
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Dietitian, Registered (Nutrition, Metabolic)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120
Pharmacy (Institutional Pharmacy)
31 N SAINT JOSEPH AVE
NILES, MI 49120
Anesthesiology
31 N SAINT JOSEPH AVE
NILES, MI 49120
Physical Therapist
31 N SAINT JOSEPH AVE
NILES, MI 49120

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770903189, enumerated as an "individual" on April 24, 2014.

The provider is located at 31 N SAINT JOSEPH AVE NILES, MI 49120 and the phone number is (269) 684-6777.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

John-phillip Markovic is affiliated with: LAKELAND HOSPITAL, ST JOSEPH and COREWELL HEALTH WATERVLIET HOSPITAL.