LUKE JAMES MARCUS D.O.
NPI 1972746105
Internal Medicine in Pontiac, MI

Active since April 17, 2009PECOS EnrolledAccepts Medicare Assignment
90.77/100
CMS Quality Rating
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5516(248) 338-5547 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Luke James Marcus D.o. NPPES

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

LUKE JAMES MARCUS D.O. (NPI 1972746105) is an individual internal medicine provider in Pontiac, Michigan, licensed in Michigan (5101018125) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1972746105
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameLUKE JAMES MARCUSCredential: D.O.
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing Address50 N Perry StPontiac, MI 48342-2217 · (248) 338-5516 · Fax (248) 338-5547
Fax(248) 338-5547
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 17, 2009
Last NPPES UpdateJune 27, 2012
NPI 1972746105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 5101018125
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.

50 N PERRY ST, Pontiac, MI 48342

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

Luke James Marcus 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 ID3971768029
PECOS Enrollment IDI20120622000605
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 11

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.

Follow-up hospital inpatient care per day, typically 25 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.
1,084 services268 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
236 services108 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
168 services157 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
128 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
64 services63 patients
Initial nursing facility visit per day, typically 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
34 services33 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48342 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
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.

90.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.98
Improvement Activities40
Cost68.13

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.

Emergency Medicine (Emergency Medical Services)
50 N PERRY ST
PONTIAC, MI 48342
Emergency Medicine (Emergency Medical Services)
50 N PERRY ST
PONTIAC, MI 48342
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342
Pharmacist
50 N PERRY ST
PONTIAC, MI 48342
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342

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 Luke Marcus's NPI number?

The NPI number for Luke Marcus is 1972746105. It was assigned to this individual provider in the NPPES registry on April 17, 2009.

Where is Luke Marcus located?

Luke Marcus practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5516.

What is Luke Marcus's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luke Marcus enrolled in Medicare?

Yes. Luke Marcus 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 Luke Marcus 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 Luke Marcus 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 Luke Marcus affiliated with any hospitals?

According to CMS data, Luke Marcus is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Luke Marcus was last updated on June 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.