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MATTHEW MARCO
NPI 1124684535
Social Worker - Clinical in Tonawanda, NY

Active since May 13, 2019PECOS EnrolledAccepts Medicare Assignment
100 NIAGARA ST, TONAWANDA, NY 14150(716) 831-1850 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2025, May 13, 2019 (2 updates tracked since 2019).

About Matthew Marco NPPES

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

MATTHEW MARCO (NPI 1124684535) is an individual clinical provider in Tonawanda, New York, licensed in New York (100632) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124684535
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMATTHEW MARCO
Location Address100 NIAGARA STTonawanda, NY 14150-1104
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700
Phone(716) 831-1850
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 13, 2019
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1124684535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 100632
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
100 NIAGARA ST, Tonawanda, NY 14150
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Oscar Health.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

Matthew Marco 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 ID5294231528
PECOS Enrollment IDI20251003004004, I20251110002559
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 Matthew Marco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

National Neurobehavioral Associates PC
287 mi
Psychiatry
50 UNION AVE STE 704
Irvington, NJ 07111
  • Reassigned Medicare billing, New York enrollment
  • 6 clinicians in this Medicare group
NPI 1144193293 (508) 979-5557
Boston Neurobehavioral Associates, LLC
418 mi
Psychiatry
226 FIELD ST
New Bedford, MA 02740
  • Reassigned Medicare billing, Massachusetts enrollment
  • 196 clinicians in this Medicare group
NPI 1558415307 (508) 979-5557

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14150 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
$0.00 typical visit price
range $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 15

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

PATRICIA RENEE RUSSO
Counselor (Mental Health)
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 831-1850
KIMBER KNOWLTON LMSW
Social Worker
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 831-1850
KELSEY SLAVIK LMSW
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 831-1850
FRANCESCA AGUGLIARO
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 831-1850
THOMAS MUECKE
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 485-1650
MICHAEL JOSEPH LUERO
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 831-1850
MADISON MILLIGAN
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 831-1850
JOSEPH TIMOTHY VANINI
Counselor
100 NIAGARA ST
TONAWANDA, NY 14150
Erie County (716) 831-1850

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 Matthew Marco's NPI number?

The NPI number for Matthew Marco is 1124684535. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Matthew Marco located?

Matthew Marco practices at 100 Niagara St, Tonawanda, NY 14150. The listed phone number is (716) 831-1850.

What is Matthew Marco's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Matthew Marco enrolled in Medicare?

Yes. Matthew Marco 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 Matthew Marco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Marco reassigns Medicare benefits to 2 organizations: National Neurobehavioral Associates PC (Irvington, NJ) and Boston Neurobehavioral Associates, LLC (New Bedford, 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 Matthew Marco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Marco accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Oscar Health list Matthew Marco 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.

When was this NPI record last updated?

The NPPES record for Matthew Marco was last updated on September 15, 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.