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DR. MARLON ANDRE MEDFORD M.D.
NPI 1053545152
Internal Medicine - Critical Care Medicine in Alexandria, LA

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
93.21/100
CMS Quality Rating
211 4TH ST STE 200, ALEXANDRIA, LA 71301(318) 451-3977 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 12, 2017 (3 updates tracked since 2017).

About Dr. Marlon Andre Medford M.d. NPPES

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

DR. MARLON ANDRE MEDFORD M.D. (NPI 1053545152) is an individual critical care medicine provider in Alexandria, Louisiana, licensed in Louisiana (304275) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053545152
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MARLON ANDRE MEDFORDCredential: M.D.
Location Address211 4TH ST STE 200Alexandria, LA 71301-8421
Mailing Address211 4th St Ste 200Alexandria, LA 71301-8421 · (318) 451-3977
Phone(318) 451-3977
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 5, 2009
Last NPPES UpdateAugust 4, 20233 updates tracked since enumeration
NPPES CertifiedAugust 4, 2023
✔ NPI 1053545152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in LA · 304275
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
211 4TH ST STE 200, Alexandria, LA 71301
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12301 Erwin RdDurham, NC 27705-4699 · Phone (919) 684-8111
Location 23330 Masonic DrAlexandria, LA 71301-3841 · Phone (318) 483-4090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.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. Marlon Andre Medford 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 ID143501676
PECOS Enrollment IDI20161221001384
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 5

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.

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.
181 services78 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
38 services38 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services22 patients
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.
24 services24 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Byrd Regional Hospital

Acute Care Hospitals · Leesville, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190164
Location1020 Fertitta BlvdLeesville, LA 71446 · Vernon County
Emergency services Birthing friendly

Riverland Medical Center

Critical Access Hospitals · Ferriday, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191318
Location6569 Hwy 84Ferriday, LA 71334 · Concordia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

93.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.43
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%103 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Marlon Medford's NPI number?

The NPI number for Marlon Medford is 1053545152. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Marlon Medford located?

Marlon Medford practices at 211 4th St Ste 200, Alexandria, LA 71301. The listed phone number is (318) 451-3977.

What is Marlon Medford's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Marlon Medford enrolled in Medicare?

Yes. Marlon Medford 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 Marlon Medford accept?

Health plans from CHRISTUS Health Plan and HMO Louisiana list Marlon Medford 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 Marlon Medford affiliated with any hospitals?

According to CMS data, Marlon Medford is affiliated with Christus St Frances Cabrini Hospital, Rapides Regional Medical Center, Byrd Regional Hospital and Riverland Medical Center.

When was this NPI record last updated?

The NPPES record for Marlon Medford was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.