Active NPI 1548242456 Individual Practitioner Female Practitioner

Dr. Nancy A Marshall , MD

Internal Medicine • Kirkland, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nancy Marshall, MD is a certified Internal Medicine practicing in Kirkland, WA. With approximately 26 years of clinical experience since graduating from R Franklin University Of Med & Sci/Chicago Medical School in 2000, Dr. Marshall delivers high-quality medical care to the local community at 12040 NE 128TH ST.

Dr. Marshall is affiliated with King County Public Hospital District No 2 and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12040 Ne 128th St
Ms #105

Kirkland, WA 980343013

Telephone 4258992560

Fax 4258992079

Associated Practice Facility / Clinic

🏢 King County Public Hospital District No. 2 Facility NPI 1033174933

Medicare Profile & Education

Medical School

R Franklin University Of Med & Sci/chicago Medical School

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Kirkland, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +4.6 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

72 Specialists

Practicing in Kirkland, WA (3169 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marshall (26 Years) 26 Yrs

Kirkland Specialty Average (21.4 Years) 21.4 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	198	91	$264.93	$120.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	139	68	$184.00	$80.16
99239 Hospital discharge day management, more than 30 minutes	66	66	$271.80	$119.33
99291 Critical care, first 30-74 minutes	23	11	$564.83	$219.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$515.00	$181.20

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	208	101	$175.00	$84.21
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	170	81	$252.00	$125.91
99239 Hospital discharge day management, more than 30 minutes	69	69	$259.00	$122.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$490.00	$184.63
99291 Critical care, first 30-74 minutes	22	13	$539.00	$214.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	231	98	$252.62	$107.35
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	71	$175.30	$75.13
99239 Hospital discharge day management, more than 30 minutes	67	67	$259.00	$109.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	35	$492.36	$209.40
99291 Critical care, first 30-74 minutes	25	20	$539.00	$229.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	252	108	$252.07	$107.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	223	100	$175.00	$75.78
99239 Hospital discharge day management, more than 30 minutes	83	81	$259.00	$114.20
99291 Critical care, first 30-74 minutes	52	28	$539.00	$229.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$490.10	$214.81
99217 Hospital observation care on day of discharge	15	15	$176.00	$78.26

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	69	44	$174.00	$77.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	38	$252.00	$113.54
99239 Hospital discharge day management, more than 30 minutes	28	28	$259.00	$113.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$490.00	$204.93

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	35	22	$174.00	$77.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	18	$252.00	$111.20
99239 Hospital discharge day management, more than 30 minutes	18	18	$259.00	$115.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$490.00	$216.42

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	118	60	$174.00	$72.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	49	$252.00	$105.47
99239 Hospital discharge day management, more than 30 minutes	45	45	$259.00	$113.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	25	25	$490.00	$214.54
99291 Critical care, first 30-74 minutes	22	13	$542.00	$233.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$331.00	$144.66

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	162	80	$173.89	$74.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	112	60	$252.00	$108.92
99239 Hospital discharge day management, more than 30 minutes	46	46	$259.00	$111.40
99238 Hospital discharge day management, 30 minutes or less	19	19	$174.74	$76.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$488.94	$211.56

Medical Specialties & State Licenses

CMS Verified: 2019-12-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA MD00041428

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License WA MD00041428

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

8355810 (WA)

Commercial Insurance / Payer ID Blue Shield

2534EL (WA)

Commercial Insurance / Payer ID Labor & Industries

0173143 (WA)

Commercial Insurance / Payer ID Medicare Railroad

P00054627 (WA)

Hospital & Practice Group Affiliations

King County Public Hospital District No 2

12040 Ne 128th St, Kirkland, WA 980343013

Phone: 4258992560

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joshua Pelley , MD

Internal Medicine

NPI 1083848279

Doctor of Medicine (M.D.)

Dr. Ettore Palazzo , MD

Internal Medicine

NPI 1093797581

Doctor of Medicine (M.D.)

Dr. Johnson Loh , MD

Internal Medicine

NPI 1114909090

Doctor of Medicine (M.D.)

Dr. Brenda Flake , MD

Obstetrics & Gynecology

NPI 1154412617

Doctor of Medicine (M.D.)

Dr. Charles Ma , MD

Hospitalist

NPI 1205377579

Doctor of Medicine (M.D.)

Dr. Tony Yen , MD

Internal Medicine

NPI 1225012735

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 June 18, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2009

Registered at 12040 NE 128TH ST, MS #105, KIRKLAND, WA 980343013 (Tel: 4258992560)

📍

Updated Business Mailing Address June 18, 2009

Registered at PO BOX 34036, SEATTLE, WA 981241036 (Tel: 4258993292)

👤

Provider Name / Credentials Updated June 18, 2009

Recorded as NANCY MARSHALL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2009

Internal Medicine (License #MD00041428 in WA)

🟢

Initial NPI Registration & Enumeration November 16, 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: 1548242456

Entity Type:

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

Enumeration Date: November 16, 2005

Last Update: December 10, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 34036

Seattle, WA 981241036

Phone: 4258993292

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.