PETER MARCINKOWSKI
NPI 1134574734
Surgery - Surgical Critical Care in Burlington, MA

Q: What is Peter Marcinkowski's NPI number?

The NPI number for Peter Marcinkowski is 1134574734. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Q: What is Peter Marcinkowski's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment

91.41/100

CMS Quality Rating

41 MALL RD, BURLINGTON, MA 01805(781) 744-8000 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 25, 2023, Sep 7, 2022 (2 updates tracked since 2022).

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About Peter Marcinkowski NPPES

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

PETER MARCINKOWSKI (NPI 1134574734) is an individual surgical critical care provider in Burlington, Massachusetts, licensed in Massachusetts (218423) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Anna Jaques Hospital, and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1134574734

Entity TypeIndividualMale

Primary Taxonomy2086S0102X

Provider Legal NamePETER MARCINKOWSKI

Location Address41 MALL RDBurlington, MA 01805-7050

Mailing Address4001 Burnett Womack Building, Cb #7050Chapel Hill, NC 27599-7050

Phone(781) 744-8000

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2016

Enumeration DateMay 2, 2016

Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2023

✔ NPI 1134574734 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in MA · 218423

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgeryTaxonomy 208600000X · License 294418 (MA), 218423 (NC)

41 MALL RD, Burlington, MA 01805

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Secondary Practice Location 1

Location 14001 Burnett Womack Building, CB #7050Chapel Hill, NC 27599-7050 · Phone (919) 966-4320

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Peter Marcinkowski 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 ID9739478280

PECOS Enrollment IDI20220928003791

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

257 services127 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

152 services151 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

119 services49 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

90 services60 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

41 services41 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Anna Jaques Hospital

Acute Care Hospitals · Newburyport, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220029

Location25 Highland AvenueNewburyport, MA 01950 · Essex County

Emergency services Birthing friendly

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220033

Location85 Herrick StreetBeverly, MA 01915 · Essex County

Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220105

Location41 Highland AvenueWinchester, MA 01890 · Middlesex County

Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220171

Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County

Emergency services

Exeter Hospital Inc

Acute Care Hospitals · Exeter, NH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300023

Location5 Alumni DriveExeter, NH 03833 · Rockingham County

Emergency services Birthing friendly

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.

91.41/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

76.87

Promoting Interoperability

100

Improvement Activities

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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.

SAHOOR KHAN

Internal Medicine (Interventional Cardiology)