MARC J ESTES M.D.
NPI 1942229356
Emergency Medicine in Frankfort, IN

Q: What is Marc Estes's NPI number?

The NPI number for Marc Estes is 1942229356. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Marc Estes's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Estes was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

1300 S JACKSON ST, FRANKFORT, IN 46041(765) 656-3000(317) 968-1321 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marc J Estes M.d. NPPES

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

MARC J ESTES M.D. (NPI 1942229356) is an individual emergency medicine provider in Frankfort, Indiana, licensed in Indiana (01052384A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Arnett Hospital, and maintains a secondary practice location in Lafayette.

NPPES Registry Identity

NPI1942229356

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMARC J ESTESCredential: M.D.

Location Address1300 S JACKSON STFrankfort, IN 46041-3313

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(765) 656-3000

Fax(317) 968-1321

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 1997

Enumeration DateJuly 18, 2006

Last NPPES UpdateFebruary 2, 2022

NPPES CertifiedFebruary 2, 2022

✔ NPI 1942229356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in IN · 01052384A✔ Licensed in IN · 01052384

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1300 S JACKSON ST, Frankfort, IN 46041

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Secondary Practice Location 1

Location 1114 Executive Dr Ste ELafayette, IN 47905-4875 · Phone (260) 407-8000 ext. 304 · Fax (260) 407-8004

Other Identifiers 4

Other930097175IN · Rail Road Medicare

Medicaid200288930IN

Other000000365250IN · Anthem

OtherPOO266479IN · Rail Road Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Marc J Estes M.d. 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 ID7113917428

PECOS Enrollment IDI20040518000054

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 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

88 services87 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

88 services88 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

66 services64 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150173

Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County

Emergency services Birthing friendly

Indiana University Health White Memorial Hospital

Critical Access Hospitals · Monticello, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151312

Location720 South Sixth StMonticello, IN 47960 · White County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46041 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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.

MRS. ANDREA GAIL SIZELOVE ATC

Specialist/Technologist (Athletic Trainer)