Individual provider Active NPI

Mark R McMurray, M.D.

  • Orthopaedic Surgery Physician
  • Petoskey, MI
National Provider Identifier
1013926948
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301049090 Issued in MI
Practice address
4048 Cedar Bluff Dr
Suite 1
Petoskey, MI 49770-8895
Phone
(231) 347-5155
Fax
(231) 347-6128
NPI assigned
Aug 7, 2006
Last updated
Oct 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301049090 MI Primary

Addresses

Primary practice location

4048 Cedar Bluff Dr
Suite 1
Petoskey, MI 49770-8895

Mailing address

PO Box 430
Petoskey, MI 49770-0430
Phone (231) 347-5155

Other identifiers 1

IdentifierTypeStateIssuer
2592967MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001247 MI Practitioner - Orthopedic Surgery 6002922176 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301049090MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Street Orthopaedics PLLC Orthopaedic Surgery CurrentSince Aug 13, 2012 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Feb 3, 2020 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Feb 3, 2020 Accepting new patients
Bay Street Orthopaedics PLLC CurrentSince Mar 4, 2010 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
DHP of Fairmont Inc Orthopaedic Surgery Past Accepting new patients
Mark R McMurray Past Accepting new patients
Mark R McMurray MD PC Past Accepting new patients

Locations

14715 W Upright St
Charlevoix, MI 49720
Phone (231) 347-5155

810 S Main St
Cheboygan, MI 49721
Phone (231) 627-9921

1050 S Otsego Ave
Gaylord, MI 49735
Phone (231) 347-5155

4048 Cedar Bluff Dr
Petoskey, MI 49770
Phone (231) 347-5155

4048 Cedar Bluff Dr
Ste 1
Petoskey, MI 49770
Phone (231) 347-5155

573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1013926948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497700430",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 CEDAR BLUFF DR",
            "address_2": "SUITE 1",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708895",
            "telephone_number": "231-347-5155",
            "fax_number": "231-347-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURRAY",
        "first_name": "MARK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301049090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2592967",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.