LORI MARCUS FNP
NPI 1164074795
Nurse Practitioner - Family in Danvers, MA

Active since July 13, 2019PECOS EnrolledAccepts Medicare Assignment
84.88/100
CMS Quality Rating
311 NEWBURY ST, DANVERS, MA 01923(978) 777-5504 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2022, Dec 9, 2020, Jul 13, 2019 (3 updates tracked since 2019).

About Lori Marcus Fnp NPPES

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

LORI MARCUS FNP (NPI 1164074795) is an individual family provider in Danvers, Massachusetts, licensed in Massachusetts (RN2272505) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164074795
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLORI MARCUSCredential: FNP
Location Address311 NEWBURY STDanvers, MA 01923-1027
Mailing Address50 Jay RdNorth Andover, MA 01845-5503 · (978) 697-8589
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 13, 2019
Last NPPES UpdateDecember 12, 20223 updates tracked since enumeration
NPPES CertifiedDecember 12, 2022
NPI 1164074795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MA · RN2272505
311 NEWBURY ST, Danvers, MA 01923

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

Lori Marcus Fnp 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 ID9133533367
PECOS Enrollment IDI20210130000072
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 9

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.
77 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.
47 services47 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
36 services36 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.
29 services29 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.
26 services26 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01923 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

84.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.44
Improvement Activities40
Cost98.29

Other Providers at the Same Location NPPES 16

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

Nurse Practitioner
311 NEWBURY ST
DANVERS, MA 01923
Pharmacist
311 NEWBURY ST
DANVERS, MA 01923
Nurse Practitioner (Family)
311 NEWBURY ST
DANVERS, MA 01923
Nurse Practitioner (Family)
311 NEWBURY ST
DANVERS, MA 01923
Pharmacy
311 NEWBURY ST
DANVERS, MA 01923
Nurse Practitioner (Family)
311 NEWBURY ST
DANVERS, MA 01923
Pharmacist
311 NEWBURY ST
DANVERS, MA 01923
Nurse Practitioner (Family)
311 NEWBURY ST
DANVERS, MA 01923

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 Lori Marcus's NPI number?

The NPI number for Lori Marcus is 1164074795. It was assigned to this individual provider in the NPPES registry on July 13, 2019.

Where is Lori Marcus located?

Lori Marcus practices at 311 Newbury St, Danvers, MA 01923. The listed phone number is (978) 777-5504.

What is Lori Marcus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lori Marcus enrolled in Medicare?

Yes. Lori Marcus 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.

When was this NPI record last updated?

The NPPES record for Lori Marcus was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.