ROY G. MARCUS M.D.
NPI 1245278084
Internal Medicine - Nephrology in Upland, PA

Q: What is Roy Marcus's NPI number?

The NPI number for Roy Marcus is 1245278084. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Roy Marcus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Roy Marcus was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

30 MEDICAL CENTER BLVD, SUITE 303, UPLAND, PA 19013(610) 872-8501(610) 872-5188 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Roy G. Marcus M.d. NPPES

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

ROY G. MARCUS M.D. (NPI 1245278084) is an individual nephrology provider in Upland, Pennsylvania, licensed in Pennsylvania (MD061386L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1986).

NPPES Registry Identity

NPI1245278084

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameROY G. MARCUSCredential: M.D.

Location Address30 MEDICAL CENTER BLVD, SUITE 303Upland, PA 19013-3955

Mailing Address30 Medical Center Blvd, Suite 303Upland, PA 19013-3955 · (610) 872-8501 · Fax (610) 872-5188

Phone(610) 872-8501

Fax(610) 872-5188

Sole ProprietorNo

Medical School CMSTemple University School Of MedicineGraduated 1986

Enumeration DateJune 3, 2006

Last NPPES UpdateJuly 26, 2012

✔ NPI 1245278084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in PA · MD061386L

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

30 MEDICAL CENTER BLVD, Upland, PA 19013

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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

Roy G. Marcus M.d. 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 ID8729146204

PECOS Enrollment IDI20110407000878

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 Reassignment

Medicare enrollment records show Roy Marcus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical Renal Associates, LLC

Same address

Nephrology

30 MEDICAL CENTER BLVD, SUITE 303
Upland, PA 19013

Reassigned Medicare billing, Pennsylvania enrollment
44 clinicians in this Medicare group

NPI 1689620254 (610) 872-8501

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 5

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

41 services14 patients

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.

25 services20 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

20 services15 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.

20 services20 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.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19013 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JESSICA FUNARI

Nurse Anesthetist, Certified Registered

30 MEDICAL CENTER BLVD
CHESTER, PA 19013

Delaware County (610) 874-6448

KEANU KALANI LAPOT BA

Counselor (Addiction (Substance Use Disorder))

30 MEDICAL CENTER BLVD
CHESTER, PA 19013

Delaware County (856) 404-4044

PHYLLIS GARBERMAN SCHAPIRE MD

Anesthesiology

30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013

Delaware County (610) 874-6448

CYNTHIA FOORE CRNA

Nurse Anesthetist, Certified Registered

30 MEDICAL CENTER BLVD, SUITE 305
CHESTER, PA 19013

Delaware County (610) 874-6448

MRS. JESSICA ELIZABETH MATHIESON P.A.

Physician Assistant (Medical)

30 MEDICAL CENTER BLVD, POB #1 - SUITE 305
CHESTER, PA 19013

Delaware County (610) 447-6021

RAMBABU THALLAPANENI M.D

Hospitalist

30 MEDICAL CENTER BLVD, SUITE 404
UPLAND, PA 19013

Delaware County (610) 619-8590

PATRICIA KIDWELL CRNA

Nurse Anesthetist, Certified Registered

30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013

Delaware County (610) 874-6448

GEORGE RANDOLPH WESTBY M.D.

Internal Medicine (Nephrology)

30 MEDICAL CENTER BLVD, SUITE 303
UPLAND, PA 19013

Delaware County (610) 872-8501

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 Roy Marcus's NPI number?

The NPI number for Roy Marcus is 1245278084. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Roy Marcus located?

Roy Marcus practices at 30 Medical Center Blvd Suite 303, Upland, PA 19013. The listed phone number is (610) 872-8501.

What is Roy Marcus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Roy Marcus enrolled in Medicare?

Yes. Roy Marcus 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 organization bills Medicare for Roy Marcus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roy Marcus reassigns Medicare benefits to Clinical Renal Associates, LLC (Upland, PA). 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 Roy Marcus'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 Roy Marcus was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.