Active NPI 1861422974 Individual Practitioner Male Practitioner

Dr. James F Markmann , MD

Surgery • Philadelphia, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Markmann, MD is a certified Surgery practicing in Philadelphia, PA. With approximately 37 years of clinical experience since graduating from Perelman School Of Med At The University Of Pennsylvania in 1989, Dr. Markmann delivers high-quality medical care to the local community at 3400 SPRUCE STREET.

Dr. Markmann is affiliated with University Of Penn - Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include transplantation of donor kidney, follow-up hospital inpatient care per day, 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

3400 Spruce Street
4 Silverstein

Philadelphia, PA 191044206

Telephone 2156154949

Fax 2156622244

Associated Practice Facility / Clinic

🏢 University Of Penn - Medical Group Facility NPI 1093725145

Medicare Profile & Education

Medical School

Perelman School Of Med At The University Of Pennsylvania

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Philadelphia, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +16.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

455 Specialists

Practicing in Philadelphia, PA (1976 Statewide)

Telehealth Adoption Rate

10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Markmann (37 Years) 37 Yrs

Philadelphia Specialty Average (20.6 Years) 20.6 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
50360 Transplantation of donor kidney	11	11	$8094.00	$2426.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	207	65	$157.95	$52.55

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	100	34	$284.40	$76.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	85	28	$159.51	$41.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	131	52	$160.00	$41.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	47	$292.57	$77.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$554.88	$147.04
50360 Transplantation of donor kidney	12	12	$10144.83	$2388.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	174	51	$157.95	$42.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	35	$292.15	$78.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	31	$551.12	$150.04
47135 Transplantation of donor liver to anatomic position	14	14	$25595.61	$3867.41

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	161	75	$285.89	$78.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	158	54	$154.49	$42.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	37	$540.80	$147.01
50360 Transplantation of donor kidney	15	15	$9699.33	$2426.11
47135 Transplantation of donor liver to anatomic position	15	15	$24713.00	$3429.47
50323 Preparation of donor kidney for transplantation	11	11	$4327.00	$95.08

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	195	60	$278.31	$78.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	89	34	$151.48	$42.17
99221 Initial hospital inpatient care per day, typically 30 minutes	32	28	$387.44	$109.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$527.36	$147.26
47135 Transplantation of donor liver to anatomic position	19	19	$23974.05	$3334.88

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	123	51	$271.66	$76.14
99231 Follow-up hospital inpatient care per day, typically 15 minutes	120	42	$145.92	$41.28
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$513.74	$144.12
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$376.00	$106.56
47135 Transplantation of donor liver to anatomic position	15	15	$23010.00	$3857.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$174.91	$26.83
50360 Transplantation of donor kidney	11	11	$9911.00	$2215.81

Medical Specialties & State Licenses

CMS Verified: 2024-03-22

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 230944

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.

Transplant Surgery

NUCC Taxonomy Code: 204F00000X

State License VT 042.0012771

A surgeon who specializes in transplant surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110075811/A (MA)

Commercial Insurance / Payer ID Medicare Ptan

0000107701 (MA)

Hospital & Practice Group Affiliations

University Of Penn - Medical Group

3400 Spruce St, Philadelphia, PA 191044238

Phone: 2156154949

University Of Penn - Medical Group

1501 N Cedar Crest Blvd, Allentown, PA 181042309

Phone: 2156626200

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Philippe Szapary , MD

Internal Medicine - Cardiovascular Disease

NPI 1003009085

Doctor of Medicine (M.D.)

Janet Helm , CRNP

Nurse Practitioner - Acute Care

NPI 1023185154

Certified Registered Nurse Practitioner

Dr. Michael Parmacek , MD

Internal Medicine - Cardiovascular Disease

NPI 1063444354

Doctor of Medicine (M.D.)

Jeanne Papa , CRNP

Nurse Practitioner - Acute Care

NPI 1063646065

Certified Registered Nurse Practitioner

Katie Hummel , CRNP

Nurse Practitioner - Acute Care

NPI 1063770170

Certified Registered Nurse Practitioner

Venessa Medina

Nurse Practitioner - Gerontology

NPI 1063910651

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location March 22, 2024

Registered at 3400 SPRUCE STREET, 4 SILVERSTEIN, PHILADELPHIA, PA 191044206 (Tel: 2156154949)

✅

NPI Profile Active September 24, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location September 24, 2013

Registered at 55 FRUIT ST # 517, MGH TRANSPLANT DIVISION, BOSTON, MA 021142621 (Tel: 6176434533)

📍

Updated Business Mailing Address September 24, 2013

Registered at 55 FRUIT ST # 517, MGH TRANSPLANT DIVISION, BOSTON, MA 021142621 (Tel: 6176434533)

👤

Provider Name / Credentials Updated September 24, 2013

Recorded as JAMES MARKMANN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2013

Transplant Surgery (License #042.0012771 in VT)

🟢

Initial NPI Registration & Enumeration July 04, 2006

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: 1861422974

Entity Type:

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

Enumeration Date: July 04, 2006

Last Update: March 22, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

55 Fruit St # 517, Mgh Transplant Division

Boston, MA 021142621

Phone: 6176434533

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.