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WILLIAM CARSON MARKES PA-C
NPI 1902366396
Physician Assistant in Duluth, MN

Active since March 21, 2019PECOS EnrolledAccepts Medicare Assignment
400 EAST THIRD STREET, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: March 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William Carson Markes Pa-c NPPES

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

WILLIAM CARSON MARKES PA-C (NPI 1902366396) is an individual physician assistant in Duluth, Minnesota, licensed in Minnesota (12974) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902366396
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWILLIAM CARSON MARKESCredential: PA-C
Location Address400 EAST THIRD STREETDuluth, MN 55805-1951
Mailing Address400 East Third StreetDuluth, MN 55805
Phone(218) 786-8364
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 21, 2019
✔ NPI 1902366396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 12974
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
400 EAST THIRD STREET, Duluth, MN 55805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.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

William Carson Markes Pa-c 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 ID2466793070
PECOS Enrollment IDI20190409001442
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services28 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers16 claims942 services$1.71 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers15 claims2,520 services$5.24 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.

DR. TIMOTHY E BORDEN D.O.
Emergency Medicine (Hospice and Palliative Medicine)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
MICHELE MARIE DAVIS APRN, CNP
Nurse Practitioner (Adult Health)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
MARIA KATARZYNA BEAVER MD
Pathology (Anatomic Pathology & Clinical Pathology)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
DR. HILARY CLAIRE REICH M.D.
Dermatology
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULTUH, MN 55805
St. Louis County (218) 786-8364
MALLORIE MARIE VAN WINKLE DPT
Physical Therapist
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-5360
SARAH KATHERINE DAGGETT CPNP
Nurse Practitioner (Pediatrics)
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
DR. NISAR ZAIDI MD
Surgery
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
DR. ERIN KATHLEEN RUST MD
Hospitalist
400 EAST THIRD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364

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 William Markes's NPI number?

The NPI number for William Markes is 1902366396. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Where is William Markes located?

William Markes practices at 400 East Third Street, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is William Markes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is William Markes enrolled in Medicare?

Yes. William Markes 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 William Markes accept?

Health plans from HealthPartners, Medica and Security Health Plan list William Markes 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 William Markes affiliated with any hospitals?

According to CMS data, William Markes is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for William Markes was last updated on March 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.