Active NPI 1861542805 Individual Practitioner Male Practitioner

Dr. Michael Todd Marion , MD

Specialist • Glasgow, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Marion, MD is a certified Specialist practicing in Glasgow, KY. With approximately 37 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1989, Dr. Marion delivers high-quality medical care to the local community at 310 N L ROGERS WELLS BLVD.

Dr. Marion is affiliated with T J Samson Community Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, colorectal cancer screening; colonoscopy on individual at high risk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

310 N L Rogers Wells Blvd

Glasgow, KY 421411300

Telephone 2706511111

Fax 2706595855

Associated Practice Facility / Clinic

🏢 T J Samson Community Hospital Facility NPI 1477609865

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Glasgow, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 36.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Glasgow, KY (431 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marion (37 Years) 37 Yrs

Glasgow Specialty Average (37.0 Years) 37.0 Yrs

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	185	141	$167.37	$65.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	76	$240.00	$96.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$202.00	$80.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	45	$87.00	$34.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	46	46	$875.00	$171.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$336.98	$130.54
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	29	$765.52	$235.92
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$875.00	$178.96
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$336.29	$82.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$336.00	$129.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$186.00	$78.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$117.00	$49.19
47562 Removal of gallbladder using an endoscope	16	16	$1621.00	$656.15
17110 Destruction of up to 14 skin growths	14	14	$170.00	$62.91
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$250.00	$81.98
43249 Balloon dilation of esophagus using an endoscope	12	12	$400.00	$104.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	133	$166.36	$62.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	84	71	$240.00	$93.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$331.05	$127.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	54	$87.00	$34.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$202.00	$79.45
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	26	$186.00	$76.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	38	28	$117.00	$46.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$336.00	$125.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	34	$740.00	$240.38
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	31	31	$875.00	$166.21
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	30	30	$321.00	$71.81
47562 Removal of gallbladder using an endoscope	23	23	$1621.00	$626.97
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$875.00	$170.57
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$521.00	$170.21
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$250.00	$79.88
17110 Destruction of up to 14 skin growths	12	11	$170.00	$59.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$240.00	$93.59
49505 Repair of groin hernia (5 years or older)	11	11	$1280.00	$544.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	154	$163.00	$65.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	94	$241.93	$94.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	65	$89.95	$35.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	38	$96.00	$37.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$328.00	$131.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$202.00	$80.64
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	39	37	$321.00	$81.55
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	37	37	$875.00	$171.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	29	29	$875.00	$174.96
99221 Initial hospital inpatient care per day, typically 30 minutes	27	27	$250.00	$96.74
47562 Removal of gallbladder using an endoscope	25	25	$1621.00	$641.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	19	$180.00	$68.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$778.95	$232.36
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$521.00	$167.17
17110 Destruction of up to 14 skin growths	12	12	$170.00	$59.21
35301 Removal of blood clot and portion of artery of neck	12	11	$2819.00	$1087.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	249	188	$162.85	$65.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	84	$239.51	$96.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	74	$86.46	$34.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	40	$96.00	$37.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$327.34	$132.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$202.00	$81.11
99221 Initial hospital inpatient care per day, typically 30 minutes	46	45	$252.09	$97.25
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$321.00	$78.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	34	$740.00	$246.20
47562 Removal of gallbladder using an endoscope	29	29	$1621.00	$641.98
45378 Diagnostic exam of large bowel using a flexible endoscope	28	27	$521.00	$173.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$875.00	$176.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	19	19	$875.00	$175.50
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$864.00	$323.87
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$419.00	$161.45
17110 Destruction of up to 14 skin growths	12	12	$170.00	$61.44
17000 Destruction of skin growth	12	12	$129.00	$48.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	236	188	$125.69	$50.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	121	121	$189.69	$74.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	118	98	$65.00	$25.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	103	$193.96	$77.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	43	$96.00	$38.63
99221 Initial hospital inpatient care per day, typically 30 minutes	33	33	$250.00	$99.87
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$321.00	$83.34
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	32	32	$875.00	$161.36
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$521.00	$174.71
47562 Removal of gallbladder using an endoscope	27	27	$1618.11	$634.87
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$740.00	$249.29
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	18	$864.00	$333.47
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	20	20	$875.00	$184.11
45380 Biopsy of large bowel using an endoscope	16	16	$623.00	$176.35
17110 Destruction of up to 14 skin growths	15	15	$170.00	$63.55
17000 Destruction of skin growth	15	14	$129.00	$48.01
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$123.00	$49.33
43249 Balloon dilation of esophagus using an endoscope	12	12	$400.00	$118.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	270	213	$125.00	$49.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	148	136	$65.00	$24.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	147	147	$187.00	$73.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	106	$192.00	$74.43
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	64	64	$875.00	$177.89
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	52	50	$321.00	$80.37
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	47	47	$875.00	$179.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	46	25	$96.00	$37.94
99221 Initial hospital inpatient care per day, typically 30 minutes	44	43	$250.00	$95.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$740.00	$251.99
47562 Removal of gallbladder using an endoscope	35	35	$1615.00	$628.64
17110 Destruction of up to 14 skin growths	24	23	$170.00	$64.44
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	21	21	$864.00	$328.37
43249 Balloon dilation of esophagus using an endoscope	18	18	$400.00	$104.47
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$521.00	$164.62
17000 Destruction of skin growth	18	18	$129.00	$42.11
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$143.38	$48.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	255	202	$124.81	$48.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	196	159	$62.00	$24.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	127	$191.28	$73.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$186.21	$71.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	59	59	$875.00	$171.92
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	52	52	$875.00	$174.00
47562 Removal of gallbladder using an endoscope	48	48	$1606.75	$599.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	34	$96.00	$37.11
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	35	35	$321.00	$71.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$740.00	$243.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$315.00	$122.35
17110 Destruction of up to 14 skin growths	19	19	$167.63	$64.41
43249 Balloon dilation of esophagus using an endoscope	17	16	$400.00	$112.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	12	$361.00	$70.94
45380 Biopsy of large bowel using an endoscope	15	15	$623.00	$171.44
19081 Biopsy of breast accessed through the skin with stereotactic guidance	15	15	$419.00	$161.88
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$248.00	$95.89
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$123.00	$47.77
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	13	13	$864.00	$322.66
17000 Destruction of skin growth	13	13	$126.00	$45.16
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$521.00	$172.03
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	11	11	$680.00	$239.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	186	158	$115.67	$48.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	172	153	$58.37	$24.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	98	$186.71	$75.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	96	96	$186.00	$73.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	41	$95.92	$37.52
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$110.25	$48.26
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	40	39	$15.00	$5.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	38	38	$875.00	$180.68
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$321.00	$91.60
47562 Removal of gallbladder using an endoscope	31	31	$1595.32	$628.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	26	$740.00	$240.67
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	25	25	$875.00	$172.91
99221 Initial hospital inpatient care per day, typically 30 minutes	20	19	$245.80	$96.80
17000 Destruction of skin growth	19	19	$125.89	$44.37
19081 Biopsy of breast accessed through the skin with stereotactic guidance	19	19	$419.00	$162.13
17110 Destruction of up to 14 skin growths	18	16	$165.00	$59.38
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$521.00	$181.42

Medical Specialties & State Licenses

CMS Verified: 2023-03-02

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License KY 27369

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License KY 27369

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64273691 (KY)

Commercial Insurance / Payer ID Medicare

K058221 (KY)

Hospital & Practice Group Affiliations

T J Samson Community Hospital

310 N L Rogers Wells Blvd, Glasgow, KY 421411300

Phone: 2706511111

Practice Associates & Co-Workers

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

23 Associated Practitioners

Dr. Sachin Bahadur , MD

Anesthesiology - Pain Medicine

NPI 1023458999

Doctor of Medicine (M.D.)

Dr. Elizabeth Combs Royse , DO

Family Medicine

NPI 1053631101

Doctor of Osteopathic Medicine (D.O.)

Dr. Melenda Miller , MD

Family Medicine

NPI 1083886568

Doctor of Medicine (M.D.)

Ashley Collins , APRN

Nurse Practitioner

NPI 1134590854

Advanced Practice Registered Nurse

Dr. William Klapheke , MD

Surgery

NPI 1184765620

Doctor of Medicine (M.D.)

Dr. Alison Campbell , MD

Internal Medicine

NPI 1205861754

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2022

Surgery (License #27369 in KY)

✅

NPI Profile Active September 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2014

Registered at 310 N L ROGERS WELLS BLVD, GLASGOW, KY 421411300 (Tel: 2706511111)

📍

Updated Business Mailing Address September 18, 2014

Registered at 310 N L ROGERS WELLS BLVD, GLASGOW, KY 421411300 (Tel: 2706511111)

👤

Provider Name / Credentials Updated September 18, 2014

Recorded as MICHAEL MARION, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2014

Specialist (License #27369 in KY)

🟢

Initial NPI Registration & Enumeration January 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1861542805

Entity Type:

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

Enumeration Date: January 11, 2007

Last Update: March 02, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

310 N L Rogers Wells Blvd

Glasgow, KY 421411300

Phone: 2706511111

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.