Deactivated NPI 1164405643 Deactivated / Inactive NPI Male Practitioner

Dr. Marshall M. Poor , MD

Specialist • Bloomington, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marshall Poor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 29, 2005

NPI Deactivation Date July 30, 2026

Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Marshall Poor, MD was a registered Specialist practicing in Bloomington, IN. Throughout an active medical career spanning 21 years, Dr. Poor provided care at the practice location at 700 S COLLEGE AVE until profile deactivation on 2026-07-30.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit, partial removal of middle spine bone with release of spinal cord and/or nerves. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

700 S College Ave
Suite A

Bloomington, IN 474032500

Telephone 8123318168

Fax 8123311096

Associated Practice Facility / Clinic

🏢 Neurosurgical Clinic Of Bloomington Inc P.c. Facility NPI 1205821899

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bloomington, IN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.2 Yrs

State Avg: 34.9 Yrs

Regional Practice Density

13 Specialists

Practicing in Bloomington, IN (456 Statewide)

Telehealth Adoption Rate

23.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	120	$120.00	$87.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$192.02	$106.23
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	16	16	$5505.00	$911.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	118	$120.26	$83.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$192.20	$103.48
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	20	$5505.00	$834.37
63048 Partial removal of spine bone with release of spinal cord and/or nerves	11	11	$1555.45	$184.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	285	125	$120.51	$84.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$192.00	$102.77
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	21	21	$5505.00	$884.57
22612 Fusion of spine in lower back	15	15	$6300.47	$1454.76
63048 Partial removal of spine bone with release of spinal cord and/or nerves	11	11	$1541.00	$189.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	242	137	$122.02	$85.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$193.30	$106.22
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	33	32	$5033.88	$852.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	13	$75.00	$36.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$78.38	$44.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$193.56	$124.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	21	$139.08	$68.92
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$194.00	$96.03
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	19	19	$4222.11	$879.13
22612 Fusion of spine in lower back	16	16	$6337.44	$1476.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$303.00	$160.56
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	14	11	$867.86	$237.76
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	12	$4332.85	$699.46
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$6520.33	$1569.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	107	$120.42	$68.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$192.00	$101.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	41	$77.00	$33.80
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	29	28	$5505.00	$814.35
63048 Partial removal of spine bone with release of spinal cord and/or nerves	16	15	$1541.00	$196.21
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$4750.00	$863.39
22612 Fusion of spine in lower back	12	12	$6477.00	$1492.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	163	$120.26	$69.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	102	102	$192.00	$101.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	101	80	$77.00	$42.22
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	44	42	$5505.00	$893.02
63048 Partial removal of spine bone with release of spinal cord and/or nerves	29	28	$1541.00	$193.20
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	17	14	$560.00	$236.48
63267 Removal of growth of lower spine bone outside spine membrane	16	15	$5249.00	$1165.71
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$7350.00	$1553.18
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$5089.29	$792.77
22845 Placement of stabilizing device to front, 2-3 spine bone segments	14	14	$4650.00	$664.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	152	$120.00	$70.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	140	96	$77.00	$42.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$192.00	$105.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	36	35	$5505.00	$881.95
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	20	$1541.00	$193.89
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	12	12	$7350.00	$1615.59
22845 Placement of stabilizing device to front, 2-3 spine bone segments	11	11	$4650.00	$691.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	127	$120.00	$74.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	170	110	$77.00	$44.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	25	$105.53	$40.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$192.00	$111.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	33	33	$375.00	$216.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$263.00	$144.93
99202 New patient office or other outpatient visit, typically 20 minutes	22	22	$127.00	$77.61
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	19	19	$5505.00	$1020.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$150.40	$77.35

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IN 01039391

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Souheil Haddad , MD

Specialist

NPI 1659355931

Doctor of Medicine (M.D.)

Dr. Fadi Haddad , MD

Surgery

NPI 1932194511

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated July 30, 2026

Record deactivated on July 30, 2026

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 700 S COLLEGE AVE, SUITE A, BLOOMINGTON, IN 474032500 (Tel: 8123318168)

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Updated Business Mailing Address July 08, 2007

Registered at 700 S COLLEGE AVE, SUITE A, BLOOMINGTON, IN 474032500 (Tel: 8123318168)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARSHALL POOR, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #01039391 in IN)

🟢

Initial NPI Registration & Enumeration November 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164405643

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 29, 2005

Last Update: July 08, 2007

Deactivation Date: July 30, 2026

Update or Correct Profile

Mailing Address

700 S College Ave, Suite A

Bloomington, IN 474032500

Phone: 8123318168

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.