DR. MARCOS N SUNGA JR. MD
NPI 1255331625
Internal Medicine in Rosiclare, IL

Q: What is Marcos Sunga's NPI number?

The NPI number for Marcos Sunga is 1255331625. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Marcos Sunga's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Marcos Sunga was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 28, 2005PECOS EnrolledAccepts Medicare Assignment

1 FERRELL RD, ROSICLARE, IL 62982(618) 285-2800(618) 285-2804 Get Directions Write a Review

NPPES record last updated: October 31, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Marcos N Sunga Jr. Md NPPES

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

DR. MARCOS N SUNGA JR. MD (NPI 1255331625) is an individual internal medicine provider in Rosiclare, Illinois and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbondale, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1255331625

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARCOS N SUNGA JR.Credential: MD

Location Address1 FERRELL RDRosiclare, IL 62982

Mailing AddressPo Box 2467Rosiclare, IL 62982-2467 · (618) 285-6634 · Fax (618) 285-3564

Phone(618) 285-2800

Fax(618) 285-2804

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateJuly 28, 2005

Last NPPES UpdateOctober 31, 2007

✔ NPI 1255331625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1 FERRELL RD, Rosiclare, IL 62982

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Other Identifiers 2

Medicare OSCAR/certification818810IL

Medicare UPINC43012

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Marcos N Sunga Jr. 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 ID9335107242

PECOS Enrollment IDI20090505000146

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 Marcos Sunga reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hardin County General Hospital

Same address

Critical Access

6 FERRELL ROAD
Rosiclare, IL 62982

Reassigned Medicare billing, Illinois enrollment
9 clinicians in this Medicare group

NPI 1538165600 (618) 285-6634

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 8

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

253 services81 patients

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

177 services61 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

92 services75 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

72 services62 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

62 services59 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

42 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140210

Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County

Emergency services

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141324

Location1201 Pine StreetEldorado, IL 62930 · Saline County

Emergency services

Hardin County General Hospital & Clinic

Critical Access Hospitals · Rosiclare, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141328

Location6 Ferrell RoadRosiclare, IL 62982 · Hardin County

Emergency services

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180104

Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62982 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers24 claims56 services$6.21 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers23 claims23 services$46.26 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers35 claims35 services$107.93 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers25 claims47 services$42.25 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers12 claims44 services$19.06 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers20 claims20 services$70.99 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers29 claims29 services$24.19 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers24 claims24 services$20.47 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

6 suppliers50 claims250 services$2.74 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$64.93 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers31 claims31 services$16.98 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier16 claims16 services$17.14 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier38 claims38 services$8.00 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers22 claims22 services$49.18 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

11 suppliers307 claims307 services$113.64 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers93 claims93 services$36.69 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers29 claims10,512 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers23 claims2,970 services$0.08 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

1 supplier14 claims840 services$0.75 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$29.42 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$46.68 avg. paid by Medicare

Extra heavy duty wheelchair K0007

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$103.32 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers40 claims40 services$194.01 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

3 suppliers85 claims85 services$37.34 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers52 claims52 services$21.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Marcos Sunga's NPI number?

The NPI number for Marcos Sunga is 1255331625. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Marcos Sunga located?

Marcos Sunga practices at 1 Ferrell Rd, Rosiclare, IL 62982. The listed phone number is (618) 285-2800.

What is Marcos Sunga's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marcos Sunga enrolled in Medicare?

Yes. Marcos Sunga 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 Marcos Sunga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcos Sunga reassigns Medicare benefits to Hardin County General Hospital (Rosiclare, IL). 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 Marcos Sunga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marcos Sunga accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Marcos Sunga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Marcos Sunga affiliated with any hospitals?

According to CMS data, Marcos Sunga is affiliated with Memorial Hospital Of Carbondale, Harrisburg Medical Center, Ferrell Hospital Community Foundations, Hardin County General Hospital & Clinic and Baptist Health Paducah.

When was this NPI record last updated?

The NPPES record for Marcos Sunga was last updated on October 31, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.