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DR. DANIEL P MARCUSA MD
NPI 1093205445
Internal Medicine - Cardiovascular Disease in Toledo, OH

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
2940 N MCCORD RD, TOLEDO, OH 43615(419) 842-3000(419) 842-3047 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2025, Sep 7, 2023, Oct 23, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Daniel P Marcusa Md NPPES

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

DR. DANIEL P MARCUSA MD (NPI 1093205445) is an individual cardiovascular disease provider in Toledo, Ohio, licensed in Ohio (35.153136) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and maintains a secondary practice location in Adrian.

NPPES Registry Identity

NPI1093205445
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DANIEL P MARCUSACredential: MD
Location Address2940 N MCCORD RDToledo, OH 43615-1753
Mailing Address2940 N Mccord RdToledo, OH 43615-1753
Phone(419) 842-3000
Fax(419) 842-3047
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2018
Enumeration DateMay 11, 2018
Last NPPES UpdateSeptember 10, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1093205445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in OH · 35.153136✔ Licensed in MI · 4301514175
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 287711 (MA)
2940 N MCCORD RD, Toledo, OH 43615
Open in Google Maps ↗

Secondary Practice Location 1

Location 15640 N Adrian Hwy # AAdrian, MI 49221-8318 · Phone (517) 577-0525 · Fax (517) 266-0956

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Daniel P Marcusa Md 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 ID840540639
PECOS Enrollment IDI20250919002188, I20250919002502
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniel Marcusa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Promedica Northwest Ohio Cardiology Consultants, LLC
Same address
Cardiac Rehabilitation
2940 N MCCORD RD STE 101
Toledo, OH 43615
  • Reassigned Medicare billing, Ohio and Michigan enrollments
  • Also billed through NPI 1780820555 (Michigan)
  • 86 clinicians in this Medicare group
NPI 1649559394 (419) 842-3000
Brigham & Womens Physicians Organization Inc
649 mi
Internal Medicine
75 FRANCIS ST
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 4,574 clinicians in this Medicare group
NPI 1033535497 (617) 732-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360029
Location950 West Wooster StreetBowling Green, OH 43402 · Wood County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 20

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

STEPHEN P KYSER PA-C
Physician Assistant
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
KATE EHRET RN
Registered Nurse
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. MARK G ISSA DO
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. JOHN L SCHWARTZ MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3094
NORTHWEST OHIO CARDIOLOGY CONSULTANTS PC
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
CAMERON J. BURMEISTER MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
JACOB TYLER CORBETT PA-C
Physician Assistant
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. EVERETT M BUSH MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3094

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 Daniel Marcusa's NPI number?

The NPI number for Daniel Marcusa is 1093205445. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Daniel Marcusa located?

Daniel Marcusa practices at 2940 N Mccord Rd, Toledo, OH 43615. The listed phone number is (419) 842-3000.

What is Daniel Marcusa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Daniel Marcusa enrolled in Medicare?

Yes. Daniel Marcusa 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 Daniel Marcusa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Marcusa reassigns Medicare benefits to 2 organizations: Promedica Northwest Ohio Cardiology Consultants, LLC (Toledo, OH) and Brigham & Womens Physicians Organization Inc (Boston, MA). 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 Daniel Marcusa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Marcusa accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 4 other insurers list Daniel Marcusa 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 Daniel Marcusa affiliated with any hospitals?

According to CMS data, Daniel Marcusa is affiliated with Promedica Charles And Virginia Hickman Hospital, Promedica Monroe Regional Hospital, Wood County Hospital, Promedica Toledo Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Marcusa was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.