Active NPI 1548367808 Individual Practitioner Male Practitioner

Dr. Frank La Marca , MD

Neurological Surgery • Ann Arbor, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Frank La Marca, MD is a certified Neurological Surgery practicing in Ann Arbor, MI. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. La Marca delivers high-quality medical care to the local community at 1500 EAST MEDICAL CENTER DR.

Dr. La Marca is affiliated with W. A. Foote Memorial Hospital, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include fusion of additional segment of spine, established patient outpatient office visit, insertion of cage or mesh device to spine bone and disc space during spine fusion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 East Medical Center Dr
2nd Floor Taubman Ctr Recp G

Ann Arbor, MI 481090338

Telephone 7349367010

Associated Practice Facility / Clinic

🏢 Regents Of The University Of Michigan Facility NPI 1003878539

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Ann Arbor, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +12.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

54 Specialists

Practicing in Ann Arbor, MI (300 Statewide)

Telehealth Adoption Rate

35.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. La Marca (33 Years) 33 Yrs

Ann Arbor Specialty Average (20.8 Years) 20.8 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
22614 Fusion of additional segment of spine	78	27	$1370.00	$385.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	69	66	$162.65	$136.38
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	55	37	$910.00	$249.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$219.50	$167.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$116.24	$88.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$155.30	$123.23
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$640.00	$161.78
22842 Placement of stabilizing device to back, 3-6 spine bone segments	28	28	$2690.00	$749.48
22216 Incision or removal of spine bone segment, each additional segment	26	12	$1270.00	$354.36
22633 Fusion of spine in lower back with partial removal of spine bone and disc	24	24	$7278.02	$1700.46
22214 Incision of spine to correct deformity at lower spinal column	23	23	$5110.00	$771.70
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$72.00	$62.96
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th	17	17	$92.00	$28.87
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	16	16	$25.00	$15.75
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	15	11	$1740.00	$475.64
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$122.00	$119.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	68	$160.95	$137.68
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	65	38	$910.00	$253.11
22614 Fusion of additional segment of spine	50	17	$1370.00	$383.73
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$204.59	$171.59
22216 Incision or removal of spine bone segment, each additional segment	35	22	$1270.00	$338.21
22214 Incision of spine to correct deformity at lower spinal column	29	29	$5110.00	$746.98
22633 Fusion of spine in lower back with partial removal of spine bone and disc	28	28	$7268.48	$1708.79
22842 Placement of stabilizing device to back, 3-6 spine bone segments	27	27	$2690.00	$730.99
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	26	19	$1740.00	$450.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$109.68	$94.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$149.67	$128.76
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$83.88	$59.97
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$2670.00	$742.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$432.00	$125.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	86	21	$1370.00	$389.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	56	$158.34	$142.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	41	$107.55	$96.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$151.48	$133.45
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	33	21	$910.00	$257.82
22216 Incision or removal of spine bone segment, each additional segment	27	14	$1270.00	$361.35
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$201.86	$174.91
22842 Placement of stabilizing device to back, 3-6 spine bone segments	19	18	$2690.00	$761.40
22214 Incision of spine to correct deformity at lower spinal column	17	17	$5110.00	$791.52
22633 Fusion of spine in lower back with partial removal of spine bone and disc	17	17	$7164.12	$1822.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$640.00	$194.29
61783 Computer-assisted spinal procedure	13	13	$830.00	$231.66
22830 Exploration of spinal fusion	11	11	$2780.00	$407.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	97	28	$1370.00	$394.64
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	69	36	$910.00	$260.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	51	$156.88	$145.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$105.00	$98.89
22216 Incision or removal of spine bone segment, each additional segment	34	18	$1270.00	$366.77
22842 Placement of stabilizing device to back, 3-6 spine bone segments	30	28	$2690.00	$769.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$159.27	$132.01
22214 Incision of spine to correct deformity at lower spinal column	29	27	$5374.31	$788.20
99443 Telephone medical discussion with physician, 21-30 minutes	27	26	$116.67	$99.20
22633 Fusion of spine in lower back with partial removal of spine bone and disc	26	25	$7457.79	$1880.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	23	23	$210.96	$183.65
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	21	14	$1740.00	$500.00
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$71.00	$66.97
22830 Exploration of spinal fusion	15	13	$2780.00	$421.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	12	$640.00	$197.44
22600 Fusion of spine in neck by posterior approach	12	11	$4656.25	$1092.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$94.56	$78.45
22614 Fusion of additional segment of spine	48	15	$1484.17	$405.47
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	44	28	$910.00	$267.80
99443 Telephone medical discussion with physician, 21-30 minutes	43	40	$118.37	$79.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$128.93	$111.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$213.05	$169.62
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	21	$2722.02	$790.60
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$57.83	$51.49
22633 Fusion of spine in lower back with partial removal of spine bone and disc	17	17	$7164.12	$1877.85
22214 Incision of spine to correct deformity at lower spinal column	16	16	$5748.75	$779.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$163.50	$130.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$640.00	$202.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	167	42	$1583.26	$401.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	90	$91.97	$75.85
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	101	56	$907.90	$265.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	57	$123.43	$108.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$186.55	$166.79
22842 Placement of stabilizing device to back, 3-6 spine bone segments	49	48	$2786.94	$785.04
22216 Incision or removal of spine bone segment, each additional segment	42	23	$1456.61	$372.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$158.71	$127.77
22633 Fusion of spine in lower back with partial removal of spine bone and disc	39	38	$7197.31	$1823.46
22214 Incision of spine to correct deformity at lower spinal column	34	33	$5623.31	$1007.42
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	34	$611.41	$199.96
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$428.50	$135.47
61783 Computer-assisted spinal procedure	26	26	$776.92	$239.50
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$58.15	$50.54
22634 Fusion of additional segment of spine with partial removal of spine bone and disc	25	17	$2032.80	$509.33
22585 Fusion of spine bones through front of body with partial removal of disc, each additional disc	16	13	$1233.75	$336.00
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	16	16	$5925.78	$1118.01
22600 Fusion of spine in neck by posterior approach	15	15	$4803.33	$872.67
22840 Placement of stabilizing device to back of 1 spine bone in neck	13	13	$2772.69	$780.73
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$159.67	$51.58
22843 Placement of stabilizing device to back, 7-12 spine bone segments	11	11	$3123.18	$839.47
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$301.09	$100.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	141	27	$1408.90	$386.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	107	$88.06	$75.10
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	68	39	$586.76	$252.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$137.84	$127.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	49	49	$177.14	$160.40
76000 Imaging guidance for procedure, 60 minutes or less	47	43	$39.98	$8.55
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	36	$376.00	$134.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$122.50	$108.86
22842 Placement of stabilizing device to back, 3-6 spine bone segments	33	30	$2990.91	$775.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	28	$478.00	$198.95
22214 Incision of spine to correct deformity at lower spinal column	28	28	$2749.82	$888.70
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	12	$1133.00	$214.79
22216 Incision or removal of spine bone segment, each additional segment	25	16	$1114.03	$345.64
22633 Fusion of spine in lower back with partial removal of spine bone and disc	24	24	$5671.88	$1720.48
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$60.09	$48.91
61783 Computer-assisted spinal procedure	15	13	$370.00	$237.02
22558 Fusion of spine bones with removal of disc at lower spinal column, anterior approach	14	14	$4688.39	$947.18
22848 Insertion of instrumentation to pelvic bones	14	14	$2475.00	$344.90
22843 Placement of stabilizing device to back, 7-12 spine bone segments	14	14	$2934.20	$784.00
22610 Fusion of spine in upper back	14	13	$4133.84	$808.38
22600 Fusion of spine in neck by posterior approach	12	11	$5104.17	$698.81
22612 Fusion of spine in lower back	11	11	$5111.25	$1290.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$142.37	$125.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	76	$82.55	$75.00
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	58	32	$651.24	$254.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$201.76	$167.58
22614 Fusion of additional segment of spine	40	13	$1895.20	$372.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	34	$117.26	$108.69
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$54.41	$49.99
22216 Incision or removal of spine bone segment, each additional segment	29	13	$1103.00	$365.87
76000 Imaging guidance for procedure, 60 minutes or less	29	27	$188.72	$8.65
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	21	$2902.90	$743.46
22633 Fusion of spine in lower back with partial removal of spine bone and disc	21	21	$6036.90	$1486.79
22214 Incision of spine to correct deformity at lower spinal column	21	21	$3067.24	$724.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$27.64	$25.12
22848 Insertion of instrumentation to pelvic bones	13	13	$2255.54	$341.81

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License MI 4301081811

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4523753 (MI)

Hospital & Practice Group Affiliations

W. A. Foote Memorial Hospital, Inc.

1201 E Michigan Ave, Jackson, MI 492011855

Phone: 5172051591

Practice Associates & Co-Workers

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

39 Associated Practitioners

Jana Barkman , NP

Nurse Practitioner - Acute Care

NPI 1013396456

Nurse Practitioner

Dr. Stephen Sullivan , MD

Neurological Surgery

NPI 1033158530

Doctor of Medicine (M.D.)

Dr. Martin Buckingham , MD

Neurological Surgery

NPI 1043275654

Doctor of Medicine (M.D.)

Dr. Luke Mcveigh , MD

Neurological Surgery

NPI 1073205464

Doctor of Medicine (M.D.)

Jaimin Patel

Neurological Surgery

NPI 1114670643

Dr. Daniel Orringer , MD

Neurological Surgery

NPI 1124141296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G, ANN ARBOR, MI 481090338 (Tel: 7349367010)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as FRANK LA MARCA, MD

🎓

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

Neurological Surgery (License #4301081811 in MI)

🟢

Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1548367808

Entity Type:

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

Enumeration Date: September 20, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3621 S State St, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

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.