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DR. ELPIDIO C MARIANO M.D.
NPI 1063524528
Surgery in Petaluma, CA

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
106 LYNCH CREEK WAY, SUITE 9B, PETALUMA, CA 94954(707) 763-1575(707) 763-9172 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Elpidio C Mariano M.d. NPPES

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

DR. ELPIDIO C MARIANO M.D. (NPI 1063524528) is an individual surgery provider in Petaluma, California, licensed in California (A39817) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1971).

NPPES Registry Identity

NPI1063524528
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ELPIDIO C MARIANOCredential: M.D.
Location Address106 LYNCH CREEK WAY, SUITE 9BPetaluma, CA 94954-2356
Mailing Address106 Lynch Creek Way, Suite 9bPetaluma, CA 94954-2356 · (707) 763-1575 · Fax (707) 763-9172
Phone(707) 763-1575
Fax(707) 763-9172
Sole ProprietorYes
Medical School CMSOtherGraduated 1971
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 14, 2010
✔ NPI 1063524528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A39817
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
106 LYNCH CREEK WAY, Petaluma, CA 94954
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Other Identifiers 3

Medicaid00A398170CA
Medicare ID-Type Unspecified00A398170
Medicare UPINA28972

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. Elpidio C Mariano 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 ID9537356506
PECOS Enrollment IDI20101203000589
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH BAY DERMATOLOGY ASSOC
Dermatology
106 LYNCH CREEK WAY, #8
PETALUMA, CA 94954
Sonoma County (707) 763-6816
NORTH BAY DERMATOLOGY ASSOCIATES
Specialist
106 LYNCH CREEK WAY, SUITE #8
PETALUMA, CA 94954
Sonoma County (707) 763-6816
NORTH BAY DERMATOLOGY & SKIN CANCER CENTER P C
Dermatology
106 LYNCH CREEK WAY, 8
PETALUMA, CA 94954
Sonoma County (707) 763-6816
PETALUMA VALLEY HEARING CENTER
Case Management
106 LYNCH CREEK WAY, SUITE 9A
PETALUMA, CA 94954
Sonoma County (866) 853-3499
DENNIS M. MCLEOD, M.D., INC
Otolaryngology
106 LYNCH CREEK WAY, SUITE 9A
PETALUMA, CA 94954
Sonoma County (707) 762-3561

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 Elpidio Mariano's NPI number?

The NPI number for Elpidio Mariano is 1063524528. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Elpidio Mariano located?

Elpidio Mariano practices at 106 Lynch Creek Way Suite 9B, Petaluma, CA 94954. The listed phone number is (707) 763-1575.

What is Elpidio Mariano's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Elpidio Mariano enrolled in Medicare?

Yes. Elpidio Mariano 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.

When was this NPI record last updated?

The NPPES record for Elpidio Mariano was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.