DR. PETER A MARCO M.D.
NPI 1013975119
Hospitalist in Panama City, FL

Q: What is Peter Marco's NPI number?

The NPI number for Peter Marco is 1013975119. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Q: What is Peter Marco's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Marco was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 01, 2006PECOS EnrolledAccepts Medicare Assignment

90.84/100

CMS Quality Rating

615 N BONITA AVE, PANAMA CITY, FL 32401(850) 769-1511 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2026, Oct 3, 2024 (2 updates tracked since 2024).

On this page

About Dr. Peter A Marco M.d. NPPES

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

DR. PETER A MARCO M.D. (NPI 1013975119) is an individual hospitalist provider in Panama City, Florida, licensed in Florida (ME107733) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of Saint Louis University School Of Medicine (1989).

NPPES Registry Identity

NPI1013975119

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. PETER A MARCOCredential: M.D.

Location Address615 N BONITA AVEPanama City, FL 32401-3623

Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 539-4091

Phone(850) 769-1511

Sole ProprietorYes

Medical School CMSSaint Louis University School Of MedicineGraduated 1989

Enumeration DateMay 1, 2006

Last NPPES UpdateApril 16, 20262 updates tracked since enumeration

NPPES CertifiedApril 16, 2026

✔ NPI 1013975119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in FL · ME107733

Definition

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.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License ME107733 (FL)

615 N BONITA AVE, Panama City, FL 32401

Open in Google Maps ↗

Other Identifiers 2

OtherG72937CA · California State License

OtherME107733FL · Florida State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

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. Peter A Marco M.d. 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 ID9032254917

PECOS Enrollment IDI20101209000678

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 4

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

236 services78 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

59 services41 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

24 services12 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100026

Location615 N Bonita AvePanama City, FL 32401 · Bay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

90.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.68

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers15 claims15 services$36.12 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers18 claims18 services$88.37 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers22 claims58 services$35.07 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers14 claims84 services$19.58 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

6 suppliers21 claims21 services$59.57 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

8 suppliers24 claims24 services$18.97 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.

JANINE JONES ARNP

Nurse Practitioner (Critical Care Medicine)

615 N BONITA AVE
PANAMA CITY, FL 32401

Bay County (850) 769-1511

ANTHONY JOHN CUROLE II CRNA

Nurse Anesthetist, Certified Registered

615 N BONITA AVE
PANAMA CITY, FL 32401

Bay County (985) 665-2583

ST ANDREWS BAY EMERGENCY PHYSICIANS, PLLC

Emergency Medicine

615 N BONITA AVE
PANAMA CITY, FL 32401

Bay County (850) 760-1511

DR. JUSTIN STRITTMATTER MD

Emergency Medicine

615 N BONITA AVE, EMERGENCY DEPARTMENT
PANAMA CITY, FL 32401

Bay County (850) 747-6000

SHELBI MILBOURN ARNP

Nurse Practitioner (Acute Care)

615 N BONITA AVE
PANAMA CITY, FL 32401

Bay County (850) 769-1511

CATHARINE H STEPHENSON A.R.N.P.

Nurse Practitioner (Family)

615 N BONITA AVE
PANAMA CITY, FL 32401

Bay County (850) 747-6659

CEP AMERICA LLC

Emergency Medicine

615 N BONITA AVE
PANAMA CITY, FL 32401

Bay County (850) 769-1511

THOMASINA WALDERA ARNP

Nurse Practitioner

615 N BONITA AVE
PANAMA CITY, FL 32401

Bay County (850) 747-6000

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 Peter Marco's NPI number?

The NPI number for Peter Marco is 1013975119. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Peter Marco located?

Peter Marco practices at 615 N Bonita Ave, Panama City, FL 32401. The listed phone number is (850) 769-1511.

What is Peter Marco's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Peter Marco enrolled in Medicare?

Yes. Peter Marco 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.

What insurance does Peter Marco accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Peter Marco 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.

Is Peter Marco affiliated with any hospitals?

According to CMS data, Peter Marco is affiliated with Ascension Sacred Heart Bay.

When was this NPI record last updated?

The NPPES record for Peter Marco was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.