DR. JOSEPH HAMEL MARCOTTE M.D.
NPI 1184014094
Surgery in Fall River, MA

Active since January 30, 2015PECOS Enrolled
99.93/100
CMS Quality Rating
795 MIDDLE ST, FALL RIVER, MA 02721(508) 235-5288(978) 784-9798 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2024, Aug 23, 2022, May 10, 2022 and 1 more (4 updates tracked since 2020).

About Dr. Joseph Hamel Marcotte M.d. NPPES

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

DR. JOSEPH HAMEL MARCOTTE M.D. (NPI 1184014094) is an individual surgery provider in Fall River, Massachusetts, licensed in Massachusetts (6041) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Saint Anne's Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184014094
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOSEPH HAMEL MARCOTTECredential: M.D.
Location Address795 MIDDLE STFall River, MA 02721-1798
Mailing Address795 Middle StFall River, MA 02721-1798 · (508) 235-5288 · Fax (978) 784-9798
Fax(978) 784-9798
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2014
Enumeration DateJanuary 30, 2015
Last NPPES UpdateSeptember 24, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1184014094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in MA · 6041 Licensed in MA · 283874 Licensed in FL · ME154460
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
795 MIDDLE ST, Fall River, MA 02721

Secondary Practice Locations 3

Location 18950 N Kendall Dr Ste 601WMiami, FL 33176-2139 · Phone (305) 271-9777 · Fax (786) 533-9518
Location 2680 Centre StBrockton, MA 02302-3308 · Phone (508) 941-7000 · Fax (508) 941-0895
Location 31307 Spruce St Apt 3APhiladelphia, PA 19107-5633 · Phone (401) 339-7750

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Joseph Hamel Marcotte M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749609782
PECOS Enrollment IDI20200924002534
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.

Hospital Affiliations CMS Care Compare

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

Saint Anne's Hospital

Acute Care Hospitals · Fall River, MA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number220020
Location795 Middle StreetFall River, MA 02721 · Bristol County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02721 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
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

99.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.3
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
795 MIDDLE ST
FALL RIVER, MA 02721
Internal Medicine (Hematology & Oncology)
795 MIDDLE ST
FALL RIVER, MA 02721
Psychiatric Unit
795 MIDDLE ST
FALL RIVER, MA 02721
Nurse Practitioner (Acute Care)
795 MIDDLE ST
FALL RIVER, MA 02721
Nurse Anesthetist, Certified Registered
795 MIDDLE ST
FALL RIVER, MA 02721
Emergency Medicine
795 MIDDLE ST
FALL RIVER, MA 02721
Physician Assistant
795 MIDDLE ST
FALL RIVER, MA 02721
Anesthesiology
795 MIDDLE ST
FALL RIVER, MA 02721

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 Joseph Marcotte's NPI number?

The NPI number for Joseph Marcotte is 1184014094. It was assigned to this individual provider in the NPPES registry on January 30, 2015.

Where is Joseph Marcotte located?

Joseph Marcotte practices at 795 Middle St, Fall River, MA 02721. The listed phone number is (508) 235-5288.

What is Joseph Marcotte's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Joseph Marcotte enrolled in Medicare?

Yes. Joseph Marcotte is registered in the Medicare PECOS enrollment system.

What insurance does Joseph Marcotte accept?

Health plans from Anthem Blue Cross and Blue Shield list Joseph Marcotte 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 Joseph Marcotte affiliated with any hospitals?

According to CMS data, Joseph Marcotte is affiliated with Saint Anne's Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Marcotte was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.