PAUL J MARCOTTE MD
NPI 1124064795
Neurological Surgery in Philadelphia, PA

Q: What is Paul Marcotte's NPI number?

The NPI number for Paul Marcotte is 1124064795. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Q: What is Paul Marcotte's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Marcotte was last updated on March 10, 2011. 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.

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment

3400 SPRUCE STREET, 3 SILVERSTEIN BLDG, PHILADELPHIA, PA 19104(215) 662-3487 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Paul J Marcotte Md NPPES

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

PAUL J MARCOTTE MD (NPI 1124064795) is an individual neurological surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD048924L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1124064795

Entity TypeIndividualMale

Primary Taxonomy207T00000X

Provider Legal NamePAUL J MARCOTTECredential: MD

Location Address3400 SPRUCE STREET, 3 SILVERSTEIN BLDGPhiladelphia, PA 19104

Mailing Address3400 Spruce St, 3 Silverstein BldgPhiladelphia, PA 19104-4206

Phone(215) 662-3487

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJune 21, 2006

Last NPPES UpdateMarch 10, 2011

✔ NPI 1124064795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207T00000X

License✔ Licensed in PA · MD048924L

Definition

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

3400 SPRUCE STREET, Philadelphia, PA 19104

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Other Identifiers 3

Medicare ID-Type Unspecified415250PA

Medicare UPINF23839

Medicaid0013967000001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Paul J Marcotte 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 ID9436294881

PECOS Enrollment IDI20100310000055

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 24

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 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.

295 services232 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

180 services180 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.

106 services91 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

99 services99 patients

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

92 services60 patients

Harvest of bone fragment for spine bone graft 20937

A harvest of a bone fragment for a spine bone graft is a procedure where a small piece of bone is taken from another part of your body. This bone is then used to help repair or strengthen areas in your spine that may be damaged or weak.

70 services70 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.

56 services56 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

54 services39 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

48 services47 patients

Fusion of additional segment of spine 22614

Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.

46 services36 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

44 services43 patients

Fusion of spine in lower back 22612

Fusion of the spine in the lower back, also known as lumbar spinal fusion, is a surgery aimed to join, or fuse, two or more vertebrae in your lower back. This procedure can help alleviate pain and improve stability by reducing movement between the vertebrae.

43 services43 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

42 services42 patients

Placement of stabilizing device to back of 1 spine bone in neck 22840

This procedure involves positioning a stabilizing device onto a single spinal bone in the neck. The goal is to provide support and prevent movement that could cause discomfort or further injury. It's performed by trained specialists under anesthesia.

40 services40 patients

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.

31 services31 patients

Harvest of bone for spine surgery graft 20938

Harvest of bone for spine surgery graft involves taking a small piece of bone from one area of your body, often the hip, to use in your spine surgery. This bone graft helps promote healing and stability in the spine by providing a framework for new, natural bone to grow on.

19 services19 patients

Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc 22551

This procedure involves fusing together the bones in the upper spine to stabilize it. A disc is removed to ease pressure on the spinal cord or nerve. This helps reduce pain and improve mobility. This is a common treatment for certain spinal conditions.

17 services17 patients

Placement of stabilizing device to front, 2-3 spine bone segments 22845

This procedure involves positioning a stabilizing device on the front of 2-3 segments of your spine. It's designed to provide support and stability to your spine, potentially alleviating discomfort and improving mobility.

15 services15 patients

Fusion of additional segment of spine with partial removal of spine bone and disc 22634

This procedure involves merging an extra part of your spine with a partial removal of your spine bone and disc. It's done to provide stability, reduce pain, and correct deformities. It's like creating a natural bridge of bone that stabilizes the spine.

14 services13 patients

Partial removal of spine bone with exploration and/or release of upper spinal cord or nerves, more than 2 segments 63015

This procedure involves the partial removal of bone from the spine to alleviate pressure on the upper spinal cord or nerves. It covers more than two spinal segments. The aim is to improve nerve function and reduce pain or discomfort.

14 services14 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

14 services13 patients

Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc 63030

This procedure involves partially removing a spine bone, which may help to alleviate pressure on the lower spinal cord or nerves. It can also include disc removal. This can reduce pain and improve mobility. It's a common treatment for certain back conditions.

13 services12 patients

Reinsertion of spinal fixation device 22849

Reinsertion of a spinal fixation device is a surgical procedure aimed at stabilizing the spine. It involves placing a device back into the spine to help maintain its structure and alignment, thus improving mobility and reducing pain.

11 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390226

Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748

DME-Other DME · category DE000N

2 suppliers40 claims40 services$3,768.04 avg. paid by Medicare

Cervical, multiple post collar, occipital/mandibular supports, adjustable L0180

DME-Orthotic Devices · category DF000N

1 supplier23 claims23 services$303.91 avg. paid by Medicare

Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L0631

DME-Orthotic Devices · category DF007N

3 suppliers35 claims35 services$825.85 avg. paid by Medicare

DME-Orthotic Devices · category DF007N

1 supplier29 claims29 services$545.10 avg. paid by Medicare

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

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.

SARAH KUMAR M.D.

Anesthesiology (Critical Care Medicine)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

RYAN MCCLINTOCK MD

Radiology (Diagnostic Radiology)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3000

ADRIAN W ONG MD

Surgery (Surgical Critical Care)

3400 SPRUCE STREET, 2 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7320

MATHEW N BESHARA MD

Obstetrics & Gynecology

3400 SPRUCE STREET, 5 PENN TOWER
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6035

JILL E LANGER MD

Radiology (Diagnostic Radiology)

3400 SPRUCE STREET, GROUND FLOOR DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-7012

BERNADETTE C WHEELER MD

Obstetrics & Gynecology

3400 SPRUCE STREET, 1 WEST GATES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2730

EDWARD T DICKINSON MD

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

WENDY RACHEL GALPERN MD, PHD

Psychiatry & Neurology (Neurology)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2219

DR. HARI AMIN M.D.

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

BRIANNA ELIZABETH REARDON CRNP

Nurse Practitioner (Family)

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

VAUNIQUE BROWN CRNA

Nurse Anesthetist, Certified Registered

3400 SPRUCE STREET, DULLES BLDG, SUITE 680
PHILADELPHIA, PA 19104

Philadelphia County (215) 349-8310

LEE R CARRASCO MD DDS

Oral & Maxillofacial Surgery

3400 SPRUCE STREET, 5 WHITE BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3580

DR. VIVIANNA MAIA VAN DEERLIN MD

Pathology (Clinical Pathology/Laboratory Medicine)

3400 SPRUCE STREET, 7.103 FOUNDERS PAVILLION
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6550

GARY KAO MD

Radiology (Radiation Oncology)

3400 SPRUCE STREET, 2 DONNER BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2428

ARTHUR F WHEREAT MD

Internal Medicine

3400 SPRUCE STREET
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6779

DR. OSCAR JONATHAN LOWY MITCHELL MD

Internal Medicine (Pulmonary Disease)

3400 SPRUCE STREET, 3 RAVDIN BLDG. STE. F
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3202

DR. ARTHUR JAMES JARAE POPE II MD, PHD

Emergency Medicine

3400 SPRUCE STREET, GROUND SILVERSTEIN BLDG
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-6698

DR. ROBERT T ADELSON MD

Otolaryngology

3400 SPRUCE STREET, 5 SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-2777

KRISTEN LYNN DONAHOO M.S.

Genetic Counselor, MS

3400 SPRUCE STREET, HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA - 5 DULLES
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3297

JOHN YOUNGKEUN LEE MD

Neurological Surgery

3400 SPRUCE STREET, 3 SILVERSTEIN BUILDING
PHILADELPHIA, PA 19104

Philadelphia County (215) 662-3487

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 Paul Marcotte's NPI number?

The NPI number for Paul Marcotte is 1124064795. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Paul Marcotte located?

Paul Marcotte practices at 3400 Spruce Street 3 Silverstein Bldg, Philadelphia, PA 19104. The listed phone number is (215) 662-3487.

What is Paul Marcotte's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Paul Marcotte enrolled in Medicare?

Yes. Paul Marcotte 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 Paul Marcotte accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Paul Marcotte 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 Paul Marcotte affiliated with any hospitals?

According to CMS data, Paul Marcotte is affiliated with Hospital Of Univ Of Pennsylvania, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Paul Marcotte was last updated on March 10, 2011. 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.