MARSHALL M. POOR (M.D.) – Specialist, NPI 1164405643

MARSHALL M. POOR (M.D.) is a healthcare provider. based in Bloomington, Indiana. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. 01039391 (IN). The NPI Number for MARSHALL M. POOR (M.D.) is 1164405643

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
MARSHALL M. POOR (M.D.)
NPI
1164405643
Phone
(812) 331-8168
Address
700 S COLLEGE AVE
Enumeration Date
29 November 2005
Last Update Date
10 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8123318168
Graduation Year
1982 (44 years ago)
PAC ID
3274657853
Group Practice PAC ID
7416071147
Professional Enrollment ID
I20100903000100
Address ID
IN474032512BL700XXAVEX401
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Digital endpointsOther names

138 NEUROSURGERY in IN

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Provider Addresses for MARSHALL M. POOR (M.D.)

  • South College Avenue, Bloomington, Monroe County, Indiana, 47403, United States

    SUITE A

    BLOOMINGTON, IN 474032500

    Phone: (812) 331-8168

    Fax: (812) 331-1096

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100903000100INeurosurgeryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes279118$0
99203New patient office or other outpatient visit, 30-44 minutes5656$0
63047Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment2020$0
63048Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment1111$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416071147View full group profile
NameSpecialtyState
N E U R O S U R G E R YIN

Reviews

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Frequently asked questions

Can I verify MARSHALL M. POOR (M.D.) with an NPI only?
You can start verification with NPI 1164405643 for MARSHALL M. POOR (M.D.), then check state licensing separately.
Can I rely on MARSHALL M. POOR (M.D.) being an active provider?
As of the registry snapshot, MARSHALL M. POOR (M.D.) is marked active.
What is MARSHALL M. POOR (M.D.) best known for clinically?
Directory data describes MARSHALL M. POOR (M.D.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What address line appears for MARSHALL M. POOR (M.D.)?
MARSHALL M. POOR (M.D.)'s geographic hint is Bloomington, Indiana in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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