Marko Velickovic, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME158616 Issued in FL

Practice address

2001 Kingsley Ave
Orange Park, FL 32073-5156

Phone

(904) 639-2000

Fax

(904) 639-2015

NPI assigned

Mar 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, VA, TN, KY, NC, SD, SC7 enrollments

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 7

Specialty

Emergency Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
• Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329
• The McDowell Hospital Hospital, Marion, NC, CCN 340087
• Kershawhealth Hospital, Camden, SC, CCN 420048

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.41 of 100Reported as group

Quality

64.93

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mvelickovic486137@direct.musc.edu
• Direct secure messaging: mvelicko@yourcarecommunity.org

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

• Emergency Coverage, LLC

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine, NC, VA

  Medicare reassignment Care Compare group NPD
• Musc Community Physicians

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Florida Emergency Physicians Kang and Associates MD LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Orlando, FL
  • NPI 1811983752
  Medicare reassignment NPD
• Monument Health Network, Inc

  • Critical Access Hospital
  • Custer, SD
  • NPI 1871560516
  Medicare reassignment NPD
• Monument Health Network, Inc.

  • Multi-Specialty Clinic/Center
  • Hot Springs, SD
  • NPI 1588185268
  Medicare reassignment NPD
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Monument Health Network, Inc.

  • Family Medicine Physician
  • Buffalo, SD
  • NPI 1073992004
  NPD
• Monument Health Network, Inc.

  • Family Medicine Physician
  • Custer, SD
  • NPI 1427243963

  Emergency Medicine

  NPD
• Musc Community Physicians

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Musc Community Physicians

  • Family Medicine Physician
  • Bamberg, SC
  • NPI 1992383145
  NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Medical University Hospital Authority

  • Psychiatric Hospital
  • Camden, SC
  • NPI 1306416680
  Care Compare affiliation
• Medical University Hospital Authority

  • General Acute Care Hospital
  • Camden, SC
  • NPI 1487220307
  Care Compare affiliation
• MH Blue Ridge Medical Center, LLLP

  • Rural Acute Care Hospital
  • Spruce Pine, NC
  • NPI 1578048294
  Care Compare affiliation
• MH Blue Ridge Medical Center, LLLP

  • Rural Health Clinic/Center
  • Spruce Pine, NC
  • NPI 1720556269

  Hospital

  Care Compare affiliation
• MH Blue Ridge Medical Center, LLLP

  • Rural Health Clinic/Center
  • Burnsville, NC
  • NPI 1881161347

  Hospital

  Care Compare affiliation
• MH Mission Hospital McDowell, LLLP

  • Rural Health Clinic/Center
  • Nebo, NC
  • NPI 1144796301

  Hospital

  Care Compare affiliation
• MH Mission Hospital McDowell, LLLP

  • General Acute Care Hospital
  • Marion, NC
  • NPI 1225513948
  Care Compare affiliation
• MH Mission Hospital McDowell, LLLP

  • Rural Health Clinic/Center
  • Marion, NC
  • NPI 1265908479

  Hospital

  Care Compare affiliation
• MH Mission Hospital McDowell, LLLP

  • Rural Health Clinic/Center
  • Marion, NC
  • NPI 1346716552

  Hospital

  Care Compare affiliation
• MH Mission Hospital McDowell, LLLP

  • Rural Health Clinic/Center
  • Marion, NC
  • NPI 1609342815

  Hospital

  Care Compare affiliation
• MH Mission Hospital McDowell, LLLP

  • Rural Health Clinic/Center
  • Marion, NC
  • NPI 1619443827

  Hospital

  Care Compare affiliation
• MH Mission Hospital McDowell, LLLP

  • Rural Health Clinic/Center
  • Forest City, NC
  • NPI 1962978122

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1584835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665187200000",
    "number": "1053947911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735156",
            "telephone_number": "904-639-2000",
            "fax_number": "904-639-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735156",
            "telephone_number": "904-639-2000",
            "fax_number": "904-639-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELICKOVIC",
        "first_name": "MARKO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-22",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME158616",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "TRN30123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vascular Surgery Associates of North Florida PA
• Amanda Vaughan, PTA
• Engel Fiorella Vega
• Kimberly Veirs, PT
• Deisioslava Velazco, RBT
• Anna-Marie Malazarte Veneracion-Yumul, M.D.
• Mariali Alexandra Verdi
• Demetta Vereen, LMHC, NCC, CCMHC
• Carol Vergara
• Mary Elizabeth Vey, RRT

• Emergency Medicine Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.