LUIS GERARDO MARMOL M.D.
NPI 1063442606
Otolaryngology in Port Charlotte, FL

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2525 HARBOR BLVD, SUITE # 303, PORT CHARLOTTE, FL 33952(941) 235-1901(941) 235-1905 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Luis Gerardo Marmol M.d. NPPES

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

LUIS GERARDO MARMOL M.D. (NPI 1063442606) is an individual otolaryngology provider in Port Charlotte, Florida, licensed in Florida (ME68622) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Shorepoint Health Port Charlotte, and is a graduate of Albany Medical College Of Union University (1990).

NPPES Registry Identity

NPI1063442606
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameLUIS GERARDO MARMOLCredential: M.D.
Location Address2525 HARBOR BLVD, SUITE # 303Port Charlotte, FL 33952-5317
Mailing Address2525 Harbor Blvd Ste 303Port Charlotte, FL 33952-5344 · (941) 235-1901 · Fax (941) 235-1905
Fax(941) 235-1905
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1990
Enumeration DateJuly 3, 2006
Last NPPES UpdateJune 4, 2015
NPI 1063442606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in FL · ME68622
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2525 HARBOR BLVD, Port Charlotte, FL 33952

Other Identifiers 5

OtherP00913646Railroad Medicare
Medicare UPING07471
OtherP00609303FL · Railroad Medicare
Other040010592FL · Railroad Medicare
Medicare PIN27258ZFL

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

Luis Gerardo Marmol 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 ID2466458138
PECOS Enrollment IDI20101117001222
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 17

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
2,073 services923 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
530 services347 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
413 services413 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
365 services252 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
313 services210 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
297 services184 patients

Hospital Affiliations CMS Care Compare 3

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

Shorepoint Health Port Charlotte

Acute Care Hospitals · Port Charlotte, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100077
Location2500 Harbor BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services Birthing friendly

Desoto Memorial Hospital

Acute Care Hospitals · Arcadia, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100175
Location900 N Robert AveArcadia, FL 34265 · De Soto County
Emergency services

Hca Florida Fawcett Hospital

Acute Care Hospitals · Port Charlotte, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100236
Location21298 Olean BlvdPort Charlotte, FL 33952 · Charlotte County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33952 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
100%32 patients5/55-star benchmark: 100%
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%1,338 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%1,419 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.

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.

Family Medicine
2525 HARBOR BLVD, SUITE 308
PORT CHARLOTTE, FL 33952
Nurse Practitioner
2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952
Preferred Provider Organization
2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952
Durable Medical Equipment & Medical Supplies
2525 HARBOR BLVD, SUITE 206
PT CHARLOTTE, FL 33952
Specialist
2525 HARBOR BLVD, SUITE 102
PORT CHARLOTTE, FL 33952
Internal Medicine (Hematology & Oncology)
2525 HARBOR BLVD, SUITE 205
PORT CHARLOTTE, FL 33952
Internal Medicine
2525 HARBOR BLVD, 104
PORT CHARLOTTE, FL 33952
Urology
2525 HARBOR BLVD, SUITE 201A
PORT CHARLOTTE, FL 33952

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 Luis Marmol's NPI number?

The NPI number for Luis Marmol is 1063442606. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Luis Marmol located?

Luis Marmol practices at 2525 Harbor Blvd Suite # 303, Port Charlotte, FL 33952. The listed phone number is (941) 235-1901.

What is Luis Marmol's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Luis Marmol enrolled in Medicare?

Yes. Luis Marmol 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.

Is Luis Marmol affiliated with any hospitals?

According to CMS data, Luis Marmol is affiliated with Shorepoint Health Port Charlotte, Desoto Memorial Hospital and Hca Florida Fawcett Hospital.

When was this NPI record last updated?

The NPPES record for Luis Marmol was last updated on June 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.