MR. MARINO ODENG MAURO PA
NPI 1245584101
Physician Assistant in Syracuse, NY

Active since October 30, 2012PECOS EnrolledAccepts Medicare Assignment
550 HARRISON STREET, SUITE I, SYRACUSE, NY 13202(315) 464-6527(315) 464-1729 Get Directions Write a Review

NPPES record last updated: November 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Marino Odeng Mauro Pa NPPES

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

MR. MARINO ODENG MAURO PA (NPI 1245584101) is an individual physician assistant in Syracuse, New York, licensed in New York (016161) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245584101
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MARINO ODENG MAUROCredential: PA
Location Address550 HARRISON STREET, SUITE ISyracuse, NY 13202
Mailing Address251 Salina Meadows Parkway, Suite 100Syracuse, NY 13212 · (315) 464-2000 · Fax (315) 464-2010
Fax(315) 464-1729
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 30, 2012
Last NPPES UpdateNovember 9, 2022
NPPES CertifiedNovember 9, 2022
NPI 1245584101 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 NY · 016161
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.
550 HARRISON STREET, Syracuse, NY 13202

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Marino Odeng Mauro Pa 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 ID2769636869
PECOS Enrollment IDI20130124000460
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
129 services113 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services51 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13202 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
550 HARRISON STREET, SUITE I
SYRACUSE, NY 13202
Nurse Practitioner (Family)
550 HARRISON STREET, SUITE D
SYRACUSE, NY 13202

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 Marino Mauro's NPI number?

The NPI number for Marino Mauro is 1245584101. It was assigned to this individual provider in the NPPES registry on October 30, 2012.

Where is Marino Mauro located?

Marino Mauro practices at 550 Harrison Street Suite I, Syracuse, NY 13202. The listed phone number is (315) 464-6527.

What is Marino Mauro's specialty?

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

Is Marino Mauro enrolled in Medicare?

Yes. Marino Mauro 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.

Is Marino Mauro affiliated with any hospitals?

According to CMS data, Marino Mauro is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Marino Mauro was last updated on November 9, 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.