MAREK DANIEL NICPON MD
NPI 1235766197
Student in an Organized Health Care Education/Training Program in Worcester, MA

Active since March 23, 2020PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: July 27, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 27, 2021, Mar 23, 2020 (2 updates tracked since 2020).

About Marek Daniel Nicpon Md NPPES

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

MAREK DANIEL NICPON MD (NPI 1235766197) is an individual student in an organized health care education/training program in Worcester, Massachusetts and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1235766197
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMAREK DANIEL NICPONCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing Address55 Lake Ave NWorcester, MA 01655-0002 · (508) 334-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 23, 2020
Last NPPES UpdateJuly 27, 20212 updates tracked since enumeration
NPPES CertifiedJuly 27, 2021
✔ NPI 1235766197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
55 LAKE AVE N, Worcester, MA 01655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marek Daniel Nicpon 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 ID5890112106
PECOS Enrollment IDI20260227001430
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Marek Nicpon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
6 FIELDSTONE CMNS, SUITE E
Tolland, CT 06084
  • Reassigned Medicare billing, Connecticut enrollment
  • 169 clinicians in this Medicare group
Diagnostic Radiology
80 SEYMOUR ST
Hartford, CT 06102
  • Reassigned Medicare billing, Connecticut enrollment
  • 161 clinicians in this Medicare group
Diagnostic Radiology
1260 SILAS DEANE HWY, SUITE 100
Wethersfield, CT 06109
  • Reassigned Medicare billing, Connecticut enrollment
  • 167 clinicians in this Medicare group
Diagnostic Radiology
399 FARMINGTON AVE STE 130
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 172 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.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

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 Marek Nicpon's NPI number?

The NPI number for Marek Nicpon is 1235766197. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Marek Nicpon located?

Marek Nicpon practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Marek Nicpon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Marek Nicpon enrolled in Medicare?

Yes. Marek Nicpon 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.

Which organizations bill Medicare for Marek Nicpon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marek Nicpon reassigns Medicare benefits to 4 organizations: Tic, LLC (Tolland, CT), Jefferson Radiology, PC (Hartford, CT), Connecticut Imaging Partners, LLC (Wethersfield, CT) and Farmington Imaging Center, LLC (Farmington, CT). Each 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 Marek Nicpon'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 Marek Nicpon was last updated on July 27, 2021. 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.