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DR. MARC S MASTROPAOLO DO
NPI 1982667002
Internal Medicine in Ypsilanti, MI

Active since April 10, 2006PECOS EnrolledAccepts Medicare Assignment
IHA HOSPITAL MEDICINE SERVICES, 5301 MCAULEY DRIVE, YPSILANTI, MI 48197(734) 712-8676(248) 476-6465 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marc S Mastropaolo Do NPPES

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

DR. MARC S MASTROPAOLO DO (NPI 1982667002) is an individual internal medicine provider in Ypsilanti, Michigan, licensed in Michigan (5101009644) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of College Of Osteo Med Of The Pacific At Pomona (1986).

NPPES Registry Identity

NPI1982667002
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARC S MASTROPAOLOCredential: DO
Location AddressIHA HOSPITAL MEDICINE SERVICES, 5301 MCAULEY DRIVEYpsilanti, MI 48197
Mailing Address24 Frank Lloyd Wright Drive, Suite J2000Ann Arbor, MI 48105 · (734) 747-6766 · Fax (248) 476-6465
Phone(734) 712-8676
Fax(248) 476-6465
Sole ProprietorYes
Medical School CMSCollege Of Osteo Med Of The Pacific At PomonaGraduated 1986
Enumeration DateApril 10, 2006
Last NPPES UpdateSeptember 13, 2023
✔ NPI 1982667002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MI · 5101009644✔ Licensed in MI · MM009644
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.
IHA HOSPITAL MEDICINE SERVICES, Ypsilanti, MI 48197
Open in Google Maps ↗

Other Identifiers 4

Medicaid4691605MI
Other124168MI · Care Choices/pref Choices
Other421561900MI · Tax Id
Other1156311905MI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Dr. Marc S Mastropaolo Do 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 ID5294704649
PECOS Enrollment IDI20041005000040
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 6

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.
224 services90 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
68 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
60 services59 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.
60 services59 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.
39 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
24 services23 patients

Hospital Affiliations CMS Care Compare

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$69.90 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$31.17 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.

KORY ASHTON STRONG DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. NAFIS MOSTAK AHMED DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DAMANSHER SINGH SIDHU DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DIANA PAEZ PA-C
Physician Assistant
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. VIGNESHGOVIND SURIYAPRAKASH MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. SHAILESH SIMKHADA MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. CHRISTINA REJI MD
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676
DR. NICHOLAS BLAKE GREGORY DO
Internal Medicine
IHA HOSPITAL MEDICINE SERVICES, 5301 E HURON RIVER DRIVE
YPSILANTI, MI 48197
Washtenaw County (734) 712-8676

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 Marc Mastropaolo's NPI number?

The NPI number for Marc Mastropaolo is 1982667002. It was assigned to this individual provider in the NPPES registry on April 10, 2006.

Where is Marc Mastropaolo located?

Marc Mastropaolo practices at Iha Hospital Medicine Services 5301 Mcauley Drive, Ypsilanti, MI 48197. The listed phone number is (734) 712-8676.

What is Marc Mastropaolo's specialty?

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

Is Marc Mastropaolo enrolled in Medicare?

Yes. Marc Mastropaolo 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 Marc Mastropaolo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Marc Mastropaolo 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 Marc Mastropaolo affiliated with any hospitals?

According to CMS data, Marc Mastropaolo is affiliated with St Joe Mercy Hospital System Livonia.

When was this NPI record last updated?

The NPPES record for Marc Mastropaolo was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.