DR. MARLENE MARTINS LOBATO MD
NPI 1003808874
Internal Medicine in Mineola, NY

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
173 MINEOLA BLVD, SUITE 403, MINEOLA, NY 11501(516) 741-8891(516) 741-8829 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 19, 2021, Aug 17, 2016 (2 updates tracked since 2016).

About Dr. Marlene Martins Lobato Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARLENE MARTINS LOBATO MD (NPI 1003808874) is an individual internal medicine provider in Mineola, New York, licensed in New York (222562) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1003808874
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARLENE MARTINS LOBATOCredential: MD
Location Address173 MINEOLA BLVD, SUITE 403Mineola, NY 11501-2555
Mailing Address173 Mineola Blvd, Suite 403Mineola, NY 11501-2555 · (516) 741-8891 · Fax (516) 741-8829
Fax(516) 741-8829
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 18, 2005
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
NPI 1003808874 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 222562
Definition

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.

173 MINEOLA BLVD, Mineola, NY 11501

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Marlene Martins Lobato Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103987342
PECOS Enrollment IDI20081208000019
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
385 services229 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
300 services198 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
222 services175 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
174 services174 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
118 services112 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
63 services63 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims62 services$6.99 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims23 services$1.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
173 MINEOLA BLVD, SUITE 301
MINEOLA, NY 11501
Psychiatry & Neurology (Psychiatry)
173 MINEOLA BLVD, SUITE301
MINEOLA, NY 11501
General Practice
173 MINEOLA BLVD, SUITE 203
MINEOLA, NY 11501
Podiatrist (Foot & Ankle Surgery)
173 MINEOLA BLVD, SUITE 201
MINEOLA, NY 11501
Internal Medicine
173 MINEOLA BLVD, SUITE 403
MINEOLA, NY 11501
Specialist
173 MINEOLA BLVD, SUITE 203
MINEOLA, NY 11501
Physician Assistant
173 MINEOLA BLVD
MINEOLA, NY 11501
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
173 MINEOLA BLVD, SUITE 101
MINEOLA, NY 11501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marlene Lobato's NPI number?

The NPI number for Marlene Lobato is 1003808874. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Marlene Lobato located?

Marlene Lobato practices at 173 Mineola Blvd Suite 403, Mineola, NY 11501. The listed phone number is (516) 741-8891.

What is Marlene Lobato's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marlene Lobato enrolled in Medicare?

Yes. Marlene Lobato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marlene Lobato affiliated with any hospitals?

According to CMS data, Marlene Lobato is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Marlene Lobato was last updated on February 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.