JOHN W MARCUS MD NPI 1013075951
Obstetrics & Gynecology in Ridgewood, NJ

About JOHN W MARCUS MD

John Marcus is a women's health care provider established in Ridgewood, New Jersey and his medical specialization is Obstetrics & Gynecology with more than 34 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1989. The NPI number of John Marcus is 1013075951 and was assigned on December 2006. The practitioner's primary taxonomy code is 207V00000X with license number MAC6232 (NJ). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1013075951
Provider Name JOHN W MARCUS MD
Location Address89 N MAPLE AVE RIDGEWOOD, NJ 07450
Location Phone(201) 447-0077
Mailing Address89 N MAPLE AVE RIDGEWOOD, NJ 07450
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year1989
Is Sole Proprietor?No
Enumeration Date12-04-2006
Last Update Date03-19-2021

Women's health care providers like John W Marcus Md treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.John Marcus is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

John Marcus is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Valley Hospital and Hackensack University Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $37.64 for a new patient copayment and $20.64 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207V00000X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
License No.MAC6232
License StateNJ
Taxonomy DescriptionAn 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.

Business Address

JOHN W MARCUS MD
89 N MAPLE AVE
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 447-0077
Fax: (201) 447-3560

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Mailing Address

JOHN W MARCUS MD
89 N MAPLE AVE
RIDGEWOOD, NJ
ZIP 07450
Phone: (201) 447-0077
Fax: (201) 447-3560


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID3375607666
PECOS Enrollment IDI20090202000130
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07450 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.45 $198.48 $150.56
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $37.64
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.27 $162.58 $82.58
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $20.64

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 67Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
  • 67Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS:Q0091)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Marcus is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
VALLEY HOSPITAL223 N VAN DIEN AVENUE
RIDGEWOOD, NJ 7450
(201) 447-8000Acute Care Hospitals310012
HACKENSACK UNIVERSITY MEDICAL CENTER30 PROSPECT AVE
HACKENSACK, NJ 7601
(551) 996-2000Acute Care Hospitals310001

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013075951
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230710910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 0 + 9 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013075951 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1699860932DR. CHARLES TSAKRIOS JR. M.D.
Individual
Ophthalmology89 N MAPLE AVE 3RD FLOOR
RIDGEWOOD, NJ 07450
(201) 445-1991
1487740981CHARLES TSAKRIOS JR. M.D PA
Organization
Ophthalmology89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 445-1991
1245369883 LOUISE DIGIA LEVENSHUS DC
Individual
Chiropractor89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 444-6656
1689808974VASCULAR AND ENDOVASCULAR ASSOCIATES OF NJ LLC
Organization
Surgery (Vascular Surgery)89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 389-3700
1841333481DR. JOY H YOO D.M.D
Individual
Dentist (General Practice)89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 797-8899
1437539939JOY DENTAL ASSOCIATES LLC
Organization
Dentist89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 797-8899
1790316164 MEGAN GAUTHIER
Individual
Dentist (General Practice)89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 797-8899
1306062658FAMILY CHIROPRACTORS OF RIDGEWOOD
Organization
Chiropractor89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 444-6656
1215557863 JENNIFER LEE
Individual
Dentist (General Practice)89 N MAPLE AVE
RIDGEWOOD, NJ 07450
(201) 797-8899

Frequently Asked Questions

What is John Marcus MD NPI number?

The NPI number assigned to John Marcus MD is 1013075951, registered as an "individual" on December 04, 2006

Where is John Marcus MD located?

The provider is located at 89 N Maple Ave Ridgewood, Nj 07450 and the phone number is (201) 447-0077

Which is John Marcus MD specialty?

The provider's speciality is Obstetrics & Gynecology

How many years of experience does John Marcus MD have?

The provider has more than 34 years of experience. He graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1989.

Is John Marcus MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

How much is a visit to John Marcus MD?

Medicare beneficiaries should expect a typical cost of $150.56 with an average copayment of $37.64 for new patient appointments. Established patients should expect a typical charge of $82.58 and an average copayment of 20.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by John Marcus MD?

The most common procedures or services performed by this practitioner are: Cervical or vaginal cancer screening; pelvic and clinical breast examination and Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory.

Is John Marcus MD affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: VALLEY HOSPITAL and HACKENSACK UNIVERSITY MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of John Marcus MD was last updated on December 04, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]