DR. PETER A MARCO M.D.
NPI 1013975119
Hospitalist in Panama City, FL
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
Specialties & Licenses 2
Other Identifiers 2
Accepted 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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Peter Marco reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Panama City, FL 32401
- Reassigned Medicare billing, Florida enrollment
- 281 clinicians in this Medicare group
Pensacola, FL 32503
- Reassigned Medicare billing, Florida enrollment
- 36 clinicians in this Medicare group
Pensacola, FL 32503
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Sacred Heart Health System Inc
- 446 clinicians in this Medicare group
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: St Vincent's Ambulatory Care Inc
- 544 clinicians in this Medicare group
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, FLPhysician 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.
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.
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.
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.
PANAMA CITY, FL 32401
PANAMA CITY, FL 32401
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.
Which organizations bill Medicare for Peter Marco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Marco reassigns Medicare benefits to 5 organizations: Hni Hospital Services Of Florida, LLC (Panama City, FL), Pensacola Lung Group, M.D.'s, P.A. (Pensacola, FL), Sacred Heart Hospital Of Pensacola (Pensacola, FL), St Vincents Ambulatory Care Inc (Jacksonville, FL) and Vip Specialties Of Florida (Jacksonville, FL). 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 Peter Marco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Marco accept?
Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare 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 6 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.