Active NPI 1114199791 Individual Practitioner Male Practitioner

Dr. Nicholas Frank Marko , MD

Neurological Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Marko, MD is a certified Neurological Surgery practicing in Cincinnati, OH. With approximately 21 years of clinical experience since graduating from George Washington University School Of Medicine in 2005, Dr. Marko delivers high-quality medical care to the local community at 234 GOODMAN ST.

Dr. Marko is affiliated with Lewis Gale Physicians Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

234 Goodman St

Cincinnati, OH 452192364

Telephone 5134758990

Fax 5134757243

Associated Practice Facility / Clinic

🏢 University Radiology Associates Of Cincinnati, Inc. Facility NPI 1437120599

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs -1.6 yrs vs City Avg

City Avg: 22.6 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

58 Specialists

Practicing in Cincinnati, OH (377 Statewide)

Telehealth Adoption Rate

25.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marko (21 Years) 21 Yrs

Cincinnati Specialty Average (22.6 Years) 22.6 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$396.82	$157.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	24	$270.48	$120.59
99213 Established patient office or other outpatient visit, typically 15 minutes	25	23	$185.08	$84.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$242.36	$113.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$462.38	$165.78
63685 Insertion of spinal neurostimulator pulse generator or receiver	11	11	$1324.82	$213.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	25	$95.00	$48.35
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$174.68	$85.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$397.44	$162.86
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$240.00	$80.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$326.00	$126.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$172.00	$72.92
63685 Insertion of spinal neurostimulator pulse generator or receiver	11	11	$1329.00	$212.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	45	40	$176.00	$90.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	43	29	$95.00	$38.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	31	$326.00	$132.97
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$240.00	$99.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$400.00	$162.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$172.00	$70.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$479.00	$194.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	56	50	$176.00	$90.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$400.00	$165.68

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	98	98	$400.00	$163.50
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$176.00	$75.03
99221 Initial hospital inpatient care per day, typically 30 minutes	28	27	$240.00	$101.78
63048 Partial removal of spine bone with release of spinal cord and/or nerves	25	11	$717.00	$215.10
63685 Insertion of spinal neurostimulator pulse generator or receiver	15	15	$1329.00	$199.85
62350 Implantation, revision, or repositioning of spinal canal medication catheter	11	11	$1305.00	$380.00
63655 Removal of spine bone for insertion of neurostimulator electrode plate in spine	11	11	$2876.00	$847.59
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$3674.00	$1076.84

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	51	51	$400.00	$164.93
99213 Established patient office or other outpatient visit, typically 15 minutes	25	18	$163.76	$68.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$328.40	$136.92
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$245.28	$95.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$95.00	$34.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$239.38	$99.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	20	$178.00	$71.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$338.00	$134.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$336.00	$122.48
61781 Computer-assisted procedure inside brain	17	16	$748.00	$241.39
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$501.00	$198.77
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$251.00	$99.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	36	$224.79	$70.69
99221 Initial hospital inpatient care per day, typically 30 minutes	36	36	$344.33	$99.54
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$118.00	$49.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$211.26	$77.09
61781 Computer-assisted procedure inside brain	19	17	$2094.21	$241.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$525.75	$198.00
61510 Removal of bone from skull for removal of upper brain tumor	12	12	$19349.33	$2251.89

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License VA 0101267159

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.

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License OH AC2895437-T57

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License PA MD448438

Neurological Surgery

NUCC Taxonomy Code: 207T00000X

State License OH 35.093725

Hospital & Practice Group Affiliations

Lewis Gale Physicians Llc

1802 Braeburn Dr, Salem, VA 241537357

Phone: 5407723400

Secondary Practice Locations

1940 Braeburn Cir

Salem, VA 241537388

Phone: 5404441240

Practice Associates & Co-Workers

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

37 Associated Practitioners

Dr. Dale Horne , MD, PhD

Neurological Surgery

NPI 1023011707

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Monica Sedmak , PA

Physician Assistant - Surgical

NPI 1023066594

Physician Assistant

Ann Nixdorf , PA-C

Physician Assistant

NPI 1043716400

Physician Assistant (Certified)

Dr. Joseph Cheng , MD

Neurological Surgery

NPI 1073697173

Doctor of Medicine (M.D.)

Elizabeth Schirmann , PA

Physician Assistant

NPI 1114163482

Physician Assistant

Cindy Daggitt , CNP

Nurse Practitioner - Acute Care

NPI 1124593058

Certified Nurse Practitioner

Career & Practice History Timeline

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

16 Historical Events

📍

Updated Practice Location January 04, 2022

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5134758990)

📍

Updated Business Mailing Address January 04, 2022

Registered at 2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 370274692 (Tel: 6153737600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Neurological Surgery (License #AC2895437-T57 in OH)

📍

Updated Practice Location August 26, 2019

Registered at 1940 BRAEBURN CIR, SALEM, VA 24153 (Tel: 5404441240)

📍

Updated Business Mailing Address August 26, 2019

Registered at 2000 HEALTH PARK DR FL HP2, BRENTWOOD, TN 370274525 (Tel: 6153737600)

✅

NPI Profile Active August 18, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 18, 2017

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 5134758990)

📍

Updated Business Mailing Address August 18, 2017

Registered at PO BOX 636256, CINCINNATI, OH 452636256 (Tel: (513) 245-3600)

👤

Provider Name / Credentials Updated August 18, 2017

Recorded as NICHOLAS MARKO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2017

Neurological Surgery (License #AC2895437-T57 in OH)

✅

NPI Profile Active October 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 07, 2016

Registered at 100 NORTH ACADEMY AVE., DANVILLE, PA 178221405 (Tel: 5702716437)

📍

Updated Business Mailing Address October 07, 2016

Registered at 100 NORTH ACADEMY AVE., DANVILLE, PA 178224903 (Tel: 5702716144)

👤

Provider Name / Credentials Updated October 07, 2016

Recorded as NICHOLAS MARKO, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 07, 2016

Neurological Surgery (License #MD448438 in PA)

🟢

Initial NPI Registration & Enumeration March 24, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Nicholas Marko. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114199791

Entity Type:

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

Enumeration Date: March 24, 2008

Last Update: January 04, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2000 Health Park Dr Fl Hp2

Brentwood, TN 370274692

Phone: 6153737600

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.