DR. MARC RIDER GARFINKEL MD
NPI 1164587994
Transplant Surgery in Springfield, IL

Active since December 22, 2006PECOS EnrolledAccepts Medicare Assignment
747 N RUTLEDGE ST, 5TH FLOOR, SPRINGFIELD, IL 62702(217) 545-5878(217) 545-0040 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Marc Rider Garfinkel Md NPPES

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

DR. MARC RIDER GARFINKEL MD (NPI 1164587994) is an individual transplant surgery provider in Springfield, Illinois, licensed in Illinois (036105100) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Duke University School Of Medicine (1992).

NPPES Registry Identity

NPI1164587994
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDR. MARC RIDER GARFINKELCredential: MD
Location Address747 N RUTLEDGE ST, 5TH FLOORSpringfield, IL 62702-6700
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-5878 · Fax (217) 545-0040
Fax(217) 545-0040
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1992
Enumeration DateDecember 22, 2006
Last NPPES UpdateOctober 22, 2020
NPPES CertifiedOctober 22, 2020
NPI 1164587994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License Licensed in IL · 036105100
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 036-105100 (IL)
747 N RUTLEDGE ST, Springfield, IL 62702

Other Identifiers 1

Medicaid036105100IL

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

Dr. Marc Rider Garfinkel 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 ID3870643265
PECOS Enrollment IDI20100728001005
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 10

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.
54 services30 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.
32 services30 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.
29 services29 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.
19 services17 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.
14 services14 patients
Transplantation of donor kidney 50360
Transplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology
747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702
Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Obstetrics & Gynecology
747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702
Pharmacist
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Internal Medicine (Cardiovascular Disease)
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702
Plastic Surgery
747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

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 Garfinkel's NPI number?

The NPI number for Marc Garfinkel is 1164587994. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Marc Garfinkel located?

Marc Garfinkel practices at 747 N Rutledge St 5th Floor, Springfield, IL 62702. The listed phone number is (217) 545-5878.

What is Marc Garfinkel's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Marc Garfinkel enrolled in Medicare?

Yes. Marc Garfinkel 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.

Is Marc Garfinkel affiliated with any hospitals?

According to CMS data, Marc Garfinkel is affiliated with St Johns Hospital and Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Garfinkel was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.