MARC JOSEPH CASASANTA MD
NPI 1124281530
Colon & Rectal Surgery in Danbury, CT

Active since July 07, 2008PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
111 OSBORNE ST STE 111, DANBURY, CT 06810(203) 739-7131(203) 739-1554 Get Directions Write a Review

NPPES record last updated: June 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marc Joseph Casasanta Md NPPES

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

MARC JOSEPH CASASANTA MD (NPI 1124281530) is an individual colon & rectal surgery provider in Danbury, Connecticut, licensed in Connecticut (61554) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Putnam Hospital Center, and maintains a secondary practice location in White Plains.

NPPES Registry Identity

NPI1124281530
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameMARC JOSEPH CASASANTACredential: MD
Location Address111 OSBORNE ST STE 111Danbury, CT 06810
Mailing Address111 Osborne St Ste 111Danbury, CT 06810-6019 · (203) 739-7131 · Fax (203) 739-1554
Fax(203) 739-1554
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2008
Enumeration DateJuly 7, 2008
Last NPPES UpdateJune 29, 2018
✔ NPI 1124281530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in CT · 61554✔ Licensed in NY · 279342
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
111 OSBORNE ST STE 111, Danbury, CT 06810

Secondary Practice Location 1

Location 1170 Maple Ave, Suite 502White Plains, NY 10601-4710 · Phone (914) 948-1000 · Fax (914) 949-6109

Accepted 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

Marc Joseph Casasanta 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 ID7214243062
PECOS Enrollment IDI20180801000340
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

4

Medicare enrollment records show Marc Casasanta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
24 HOSPITAL AVE
Danbury, CT 06810
  • Reassigned Medicare billing, Connecticut enrollment
  • 818 clinicians in this Medicare group
Internal Medicine
3423 DANBURY RD
Brewster, NY 10509
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
Surgery
170 MAPLE AVE, SUITE 501
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 54 clinicians in this Medicare group
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 8

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 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.
79 services59 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
46 services25 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.
39 services39 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.
30 services30 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
28 services27 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.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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 Casasanta's NPI number?

The NPI number for Marc Casasanta is 1124281530. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Where is Marc Casasanta located?

Marc Casasanta practices at 111 Osborne St Ste 111, Danbury, CT 06810. The listed phone number is (203) 739-7131.

What is Marc Casasanta's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Marc Casasanta enrolled in Medicare?

Yes. Marc Casasanta 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 Marc Casasanta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Casasanta reassigns Medicare benefits to 4 organizations: Nuvance Health Medical Practice Ct, Inc. (Danbury, CT), Eastern New York Medical Services PC (Brewster, NY), White Plains Hospital Medical Center (White Plains, NY) and Nuvance Health Medical Practice PC (Poughkeepsie, NY). 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 Marc Casasanta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Casasanta accept?

Health plans from Anthem Blue Cross and Blue Shield list Marc Casasanta 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 Casasanta affiliated with any hospitals?

According to CMS data, Marc Casasanta is affiliated with Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Marc Casasanta was last updated on June 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.