DR. MARC HORTON MD
NPI 1093755142
Surgery in Seattle, WA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
1221 MADISON ST, SEATTLE, WA 98104(206) 386-6700 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marc Horton Md NPPES

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

DR. MARC HORTON MD (NPI 1093755142) is an individual surgery provider in Seattle, Washington, licensed in Washington (MD00026379) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of University Of Washington School Of Medicine (1987).

NPPES Registry Identity

NPI1093755142
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARC HORTONCredential: MD
Location Address1221 MADISON STSeattle, WA 98104-1360
Mailing AddressPo Box 84026Seattle, WA 98124-8426 · (206) 386-6700
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 1987
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 21, 2021
NPPES CertifiedMay 21, 2021
NPI 1093755142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WA · MD00026379
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.
1221 MADISON ST, Seattle, WA 98104

Other Identifiers 1

Medicaid1082726WA

Accepted 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. Marc Horton 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 ID2860381761
PECOS Enrollment IDI20040310001289
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.

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

Radiology (Diagnostic Radiology)
1221 MADISON ST, STE 150
SEATTLE, WA 98104
Nurse Practitioner (Adult Health)
1221 MADISON ST, STE 1020
SEATTLE, WA 98104
Surgery
1221 MADISON ST, STE 1411
SEATTLE, WA 98104
Nurse Practitioner (Adult Health)
1221 MADISON ST, SUITE 400
SEATTLE, WA 98104
Internal Medicine (Hematology & Oncology)
1221 MADISON ST, STE 1020
SEATTLE, WA 98104
Clinic/Center
1221 MADISON ST, STE. 690
SEATTLE, WA 98104
Pediatrics
1221 MADISON ST, SUITE 910
SEATTLE, WA 98104
Ophthalmology
1221 MADISON ST, STE 1415
SEATTLE, WA 98104

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 Marc Horton's NPI number?

The NPI number for Marc Horton is 1093755142. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Marc Horton located?

Marc Horton practices at 1221 Madison St, Seattle, WA 98104. The listed phone number is (206) 386-6700.

What is Marc Horton's specialty?

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

Is Marc Horton enrolled in Medicare?

Yes. Marc Horton 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 Marc Horton accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Marc Horton 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 Marc Horton affiliated with any hospitals?

According to CMS data, Marc Horton is affiliated with Swedish Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Horton was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.