MARIE E. LOUIS MD
NPI 1265472484
Family Medicine in Philadelphia, PA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
5214 BALTIMORE AVE, PHILADELPHIA, PA 19143(215) 623-1020(888) 355-6967 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2026, Jul 29, 2019 (2 updates tracked since 2019).

About Marie E. Louis Md NPPES

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

MARIE E. LOUIS MD (NPI 1265472484) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD422927) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains a secondary practice location in Moorestown.

NPPES Registry Identity

NPI1265472484
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMARIE E. LOUISCredential: MD
Location Address5214 BALTIMORE AVEPhiladelphia, PA 19143-3240
Mailing Address102 Woodmont BlvdNashville, TN 37205-2287 · (888) 987-1151
Fax(888) 355-6967
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 2001
Enumeration DateJune 7, 2006
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
NPI 1265472484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD422927 Licensed in NJ · MA84784
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5214 BALTIMORE AVE, Philadelphia, PA 19143

Secondary Practice Location 1

Location 1110 Marter Avenue, Bldg. 500 Suite 503Moorestown, NJ 08057 · Phone (856) 608-8840 · Fax (856) 722-1898

Other Identifiers 6

OtherP3947491NJ · Oxford
Medicaid0176991NJ
Other60044554NJ · Horizon Nj Health
Other6638919/7921640NJ · Aetna
Other46918NJ · Univeristy Health Plan
Other7891031NJ · Cigna

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

Marie E. Louis 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 ID8426021742
PECOS Enrollment IDI20081103000610
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 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.

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.
112 services85 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
59 services59 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.
32 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
14 services14 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19143 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
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.

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.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.96
Promoting Interoperability99.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
8 suppliers24 claims36 services$5.27 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims15 services$0.95 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
3 suppliers13 claims13 services$198.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Pharmacist
5214 BALTIMORE AVE
PHILADELPHIA, PA 19143
Nurse Practitioner (Family)
5214 BALTIMORE AVE
PHILADELPHIA, PA 19143
Pharmacist
5214 BALTIMORE AVE
PHILADELPHIA, PA 19143
Pharmacist
5214 BALTIMORE AVE
PHILADELPHIA, PA 19143
Pharmacist
5214 BALTIMORE AVE
PHILA, PA 19143
Pharmacist
5214 BALTIMORE AVE
PHILADELPHIA, PA 19143

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 Marie Louis's NPI number?

The NPI number for Marie Louis is 1265472484. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Marie Louis located?

Marie Louis practices at 5214 Baltimore Ave, Philadelphia, PA 19143. The listed phone number is (215) 623-1020.

What is Marie Louis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marie Louis enrolled in Medicare?

Yes. Marie Louis 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 Marie Louis affiliated with any hospitals?

According to CMS data, Marie Louis is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Marie Louis was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.