MARC J. MCNAUGHTON MD
NPI 1114993029
Family Medicine in Mentor, OH

Q: What is Marc Mcnaughton's NPI number?

The NPI number for Marc Mcnaughton is 1114993029. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Q: What is Marc Mcnaughton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Mcnaughton was last updated on March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment

9500 MENTOR AVE, SUITE 100, MENTOR, OH 44060(440) 350-4880(440) 352-3629 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Marc J. Mcnaughton Md NPPES

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

MARC J. MCNAUGHTON MD (NPI 1114993029) is an individual family medicine provider in Mentor, Ohio, licensed in Ohio (35077660) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Health, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1998).

NPPES Registry Identity

NPI1114993029

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARC J. MCNAUGHTONCredential: MD

Location Address9500 MENTOR AVE, SUITE 100Mentor, OH 44060-8713

Mailing Address9500 Mentor Ave, Suite 100Mentor, OH 44060-8713 · (440) 350-4880 · Fax (440) 352-3629

Phone(440) 350-4880

Fax(440) 352-3629

Sole ProprietorNo

Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1998

Enumeration DateFebruary 28, 2006

Last NPPES UpdateMarch 1, 2021

NPPES CertifiedMarch 1, 2021

✔ NPI 1114993029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 35077660

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9500 MENTOR AVE, Mentor, OH 44060

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Other Identifiers 1

Medicaid2260039OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc J. Mcnaughton 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 ID2163470303

PECOS Enrollment IDI20050105000184

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 13

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

229 services154 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

192 services192 patients

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.

184 services128 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

47 services47 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

40 services40 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

37 services36 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

29 services28 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

17 services17 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

14 services14 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

12 services12 patients

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report G0403

An Electrocardiogram (ECG) with 12 leads is a non-invasive test that measures the electrical activity of your heart. It's performed during your initial physical examination to screen for heart conditions. The results are interpreted and compiled into a report for further evaluation.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Lake Health

Acute Care Hospitals · Concord, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360098

Location7590 Auburn RoadConcord, OH 44077 · Lake County

Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44060 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

12 suppliers37 claims79 services$5.33 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

9 suppliers18 claims20 services$0.98 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers13 claims13 services$49.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers13 claims69 services$1.63 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$33.99 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MARK K. KOMAR MD

Family Medicine

9500 MENTOR AVE, SUITE 100
MENTOR, OH 44060

Lake County (440) 352-4880

JOHN S. BUCCHIERI M.D.

Orthopaedic Surgery

9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060

Lake County (440) 352-1711

DR. ERIC M PARSONS M.D.

Orthopaedic Surgery

9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060

Lake County (440) 352-1711

DR. PATRICK A QUINN MD

Obstetrics & Gynecology

9500 MENTOR AVE, SUITE 220
MENTOR, OH 44060

Lake County (440) 357-7100

DR. STEPHEN T CAROSELLO DDS

Dentist (General Practice)

9500 MENTOR AVE, STE 280
MENTOR, OH 44060

Lake County (440) 352-2887

DR. JEFFREY C LUPICA DPM

Podiatrist

9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060

Lake County (440) 352-1711

MS. ELIZABETH WOJCIK P.T.

Physical Therapist

9500 MENTOR AVE, SUITE 210
MENTOR, OH 44060

Lake County (440) 352-0934

LAKE HOSPITAL SYSTEM, INC.

Surgery (Plastic and Reconstructive Surgery)

9500 MENTOR AVE, SUITE 200
MENTOR, OH 44060

Lake County (440) 205-5433

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 Mcnaughton's NPI number?

The NPI number for Marc Mcnaughton is 1114993029. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Marc Mcnaughton located?

Marc Mcnaughton practices at 9500 Mentor Ave Suite 100, Mentor, OH 44060. The listed phone number is (440) 350-4880.

What is Marc Mcnaughton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marc Mcnaughton enrolled in Medicare?

Yes. Marc Mcnaughton 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 Mcnaughton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Marc Mcnaughton 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 Mcnaughton affiliated with any hospitals?

According to CMS data, Marc Mcnaughton is affiliated with Lake Health and Uh Cleveland Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Mcnaughton was last updated on March 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.