RICHARD MARCINKO P.A.-C
NPI 1215973904
Physician Assistant in Baltimore, MD

Active since June 21, 2006PECOS Enrolled
74.39/100
CMS Quality Rating
5505 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224(410) 550-5633 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Richard Marcinko P.a.-c NPPES

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

RICHARD MARCINKO P.A.-C (NPI 1215973904) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C02015) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1215973904
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICHARD MARCINKOCredential: P.A.-C
Location Address5505 HOPKINS BAYVIEW CIRBaltimore, MD 21224-6821
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 22, 2022
NPPES CertifiedSeptember 22, 2022
NPI 1215973904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MD · C02015
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5505 HOPKINS BAYVIEW CIR, Baltimore, MD 21224

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Richard Marcinko P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113050584
PECOS Enrollment IDI20100805000442
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

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.

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.
76 services76 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Nurse Practitioner (Primary Care)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Psychologist (Clinical)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Pharmacist
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR
BALTIMORE, MD 21224
Internal Medicine (Geriatric Medicine)
5505 HOPKINS BAYVIEW CIR, JOHN BURTON PAVILLION
BALTIMORE, MD 21224

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 Richard Marcinko's NPI number?

The NPI number for Richard Marcinko is 1215973904. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Richard Marcinko located?

Richard Marcinko practices at 5505 Hopkins Bayview Cir, Baltimore, MD 21224. The listed phone number is (410) 550-5633.

What is Richard Marcinko's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Richard Marcinko enrolled in Medicare?

Yes. Richard Marcinko is registered in the Medicare PECOS enrollment system.

Is Richard Marcinko affiliated with any hospitals?

According to CMS data, Richard Marcinko is affiliated with Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Richard Marcinko was last updated on September 22, 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.