MS. THERESA MARIE MAROTTA PA-C
NPI 1275881450
Physician Assistant in Indianapolis, IN

Q: What is Theresa Marotta's NPI number?

The NPI number for Theresa Marotta is 1275881450. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Q: What is Theresa Marotta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theresa Marotta was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since August 20, 2012PECOS EnrolledAccepts Medicare Assignment

63.59/100

CMS Quality Rating

8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278(317) 802-2000(317) 802-2170 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 4, 2024, May 8, 2024, Feb 3, 2022 and 2 more (5 updates tracked since 2017).

On this page

About Ms. Theresa Marie Marotta Pa-c NPPES

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

MS. THERESA MARIE MAROTTA PA-C (NPI 1275881450) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10002213A) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Orthoindy Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275881450

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. THERESA MARIE MAROTTACredential: PA-C

Location Address8450 NORTHWEST BLVDIndianapolis, IN 46278-1381

Mailing Address8450 Northwest BlvdIndianapolis, IN 46278-1381 · (317) 802-2000 · Fax (317) 802-2170

Phone(317) 802-2000

Fax(317) 802-2170

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 20, 2012

Last NPPES UpdateDecember 4, 20245 updates tracked since enumeration

NPPES CertifiedDecember 4, 2024

✔ NPI 1275881450 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 IN · 10002213A

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.

8450 NORTHWEST BLVD, Indianapolis, IN 46278

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

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

Ms. Theresa Marie Marotta Pa-c 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 ID8325299183

PECOS Enrollment IDI20170614002474

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

60 services60 patients

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.

55 services55 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Orthoindy Hospital

Acute Care Hospitals · Indianapolis, IN

OwnershipPhysician

CMS Certification Number150160

Location8400 Northwest BlvdIndianapolis, IN 46278 · Marion County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46278 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

63.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

28.15

Promoting Interoperability

Improvement Activities

Cost

61.31

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.

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