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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN W MARCUS MD
NPI 1013075951
Obstetrics & Gynecology in Punta Gorda, FL

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
17031 ESPANA CIR, PUNTA GORDA, FL 33955(201) 755-0544(201) 447-3560 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, May 22, 2023, Mar 19, 2021 (3 updates tracked since 2021).

About John W Marcus Md NPPES

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

JOHN W MARCUS MD (NPI 1013075951) is an individual obstetrics & gynecology provider in Punta Gorda, Florida, licensed in Florida (ME155859) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1013075951
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN W MARCUSCredential: MD
Location Address17031 ESPANA CIRPunta Gorda, FL 33955-4450
Mailing Address17031 Espana CirPunta Gorda, FL 33955-4450 · (201) 755-0544
Phone(201) 755-0544
Fax(201) 447-3560
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateDecember 4, 2006
Last NPPES UpdateSeptember 18, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1013075951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in FL · ME155859✔ Licensed in NJ · MAC6232
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
17031 ESPANA CIR, Punta Gorda, FL 33955
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John W Marcus 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 ID3375607666
PECOS Enrollment IDI20220909002527
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.

Medicare Billing Reassignments

5

Medicare enrollment records show John Marcus reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lee Health System Inc
21 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500
Ob Hospitalist Group LLC
39 mi
Obstetrics & Gynecology
11190 HEALTH PARK BLVD
Naples, FL 34110
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1811652704 (864) 908-3530
Jorge A Fernandez-Sanchez, MD, PA
130 mi
Specialist
9350 SW 72ND ST STE 105
Miami, FL 33173
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1508148883 (305) 819-1104
Ob Hospitalist Services New Jersey, PA
556 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
NPI 1801169966 (800) 967-2289
Lifeline Medical Associates, LLC
1,059 mi
Obstetrics & Gynecology
100 CAMPUS DR STE 405
Florham Park, NJ 07932
  • Reassigned Medicare billing, New Jersey enrollment
  • 230 clinicians in this Medicare group
NPI 1821041617 (800) 845-2785

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33955 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 John Marcus's NPI number?

The NPI number for John Marcus is 1013075951. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is John Marcus located?

John Marcus practices at 17031 Espana Cir, Punta Gorda, FL 33955. The listed phone number is (201) 755-0544.

What is John Marcus's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Marcus enrolled in Medicare?

Yes. John Marcus 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.

Which organizations bill Medicare for John Marcus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Marcus reassigns Medicare benefits to 5 organizations: Lee Health System Inc (Fort Myers, FL), Ob Hospitalist Group LLC (Naples, FL), Jorge A Fernandez-Sanchez, MD, PA (Miami, FL), Ob Hospitalist Services New Jersey, PA (Greenville, SC) and Lifeline Medical Associates, LLC (Florham Park, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Marcus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Marcus accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Molina Healthcare list John Marcus as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Marcus was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.