MARC LUTHER WILCOX MS CCC-A
NPI 1205855145
Audiologist in Fredonia, NY
About Marc Luther Wilcox Ms Ccc-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC LUTHER WILCOX MS CCC-A (NPI 1205855145) is an individual audiologist in Fredonia, New York, licensed in New York (001310-1) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marc Luther Wilcox Ms Ccc-a is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marc Wilcox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fredonia, NY 14063
- Reassigned Medicare billing, New York enrollment
- 6 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
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.
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.
FREDONIA, NY 14063
FREDONIA, NY 14063
FREDONIA, NY 14063
FREDONIA, NY 14063
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 Wilcox's NPI number?
The NPI number for Marc Wilcox is 1205855145. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Marc Wilcox located?
Marc Wilcox practices at 280 Central Ave W123 Thompson Hall, Fredonia, NY 14063. The listed phone number is (716) 673-3203.
What is Marc Wilcox's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Marc Wilcox enrolled in Medicare?
Yes. Marc Wilcox is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marc Wilcox's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Wilcox reassigns Medicare benefits to State Of New York Comptrollers Office (Fredonia, NY). The 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 Marc Wilcox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marc Wilcox was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Marc Luther Wilcox, MS CCC-A · NPI 1205855145
Audiologist provider in Fredonia, New York. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1205855145 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 001310-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 280 CENTRAL AVE, W123 THOMPSON HALL, Fredonia, NY 14063-1127
- **Phone:** (716) 673-3203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** State Of New York Comptrollers Office (NPI 1508079567, Fredonia, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1205855145) · Data from the CMS NPPES public registry.