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DONALD RAY MARECLE M.D.
NPI 1285600759
Surgery in Cullman, AL

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment
47.92/100
CMS Quality Rating
212 4TH AVE SE, SUITE 100, CULLMAN, AL 35055(256) 739-6050(256) 739-4921 Get Directions Write a Review

NPPES record last updated: September 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Ray Marecle M.d. NPPES

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

DONALD RAY MARECLE M.D. (NPI 1285600759) is an individual surgery provider in Cullman, Alabama, licensed in Alabama (9759) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Mississippi School Of Medicine (1980).

NPPES Registry Identity

NPI1285600759
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDONALD RAY MARECLECredential: M.D.
Location Address212 4TH AVE SE, SUITE 100Cullman, AL 35055-3673
Mailing Address212 4th Ave Se, Suite 100Cullman, AL 35055-3673 · (256) 739-6050 · Fax (256) 739-4921
Phone(256) 739-6050
Fax(256) 739-4921
Sole ProprietorYes
Medical School CMSUniversity Of Mississippi School Of MedicineGraduated 1980
Enumeration DateFebruary 24, 2006
Last NPPES UpdateSeptember 12, 2016
✔ NPI 1285600759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in AL · 9759✔ Licensed in MS · 09303
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
212 4TH AVE SE, Cullman, AL 35055
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINC70850AL
Medicare ID-Type Unspecified000035588AL
Other51035588AL · Blue Cross Of Alabama
Medicaid529702820AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Donald Ray Marecle 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 ID3274716691
PECOS Enrollment IDI20110323000221
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 10

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.
204 services151 patients
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.
158 services158 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
40 services39 patients
Destruction of polyp or growth of large bowel using a flexible endoscope 45388
This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.
39 services39 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
22 services22 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35055 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

47.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality50
Improvement Activities0
Cost93.08

Referred Medical Equipment & Supplies CMS DME claims

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers12 claims47 services$36.54 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 4

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

KATIE YEAGER PLOURD CRNP
Nurse Practitioner
212 4TH AVE SE, SUITE 300
CULLMAN, AL 35055
Cullman County (205) 271-8312
PERIODONTAL AND IMPLANT ASSOCIATES, INC.
Dentist (Periodontics)
212 4TH AVE SE, SUITE 500
CULLMAN, AL 35055
Cullman County (256) 734-8588
DR. JENNIFER HIRSCH DOOBROW D.M.D.
Dentist (General Practice)
212 4TH AVE SE, SUITE 500
CULLMAN, AL 35055
Cullman County (256) 734-8588
CULLMAN SURGICAL ASSOCIATES, P.C.
Surgery
212 4TH AVE SE, SUITE 100
CULLMAN, AL 35055
Cullman County (256) 739-6050

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 Donald Marecle's NPI number?

The NPI number for Donald Marecle is 1285600759. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Where is Donald Marecle located?

Donald Marecle practices at 212 4th Ave SE Suite 100, Cullman, AL 35055. The listed phone number is (256) 739-6050.

What is Donald Marecle's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Donald Marecle enrolled in Medicare?

Yes. Donald Marecle 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.

What insurance does Donald Marecle accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Donald Marecle 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.

When was this NPI record last updated?

The NPPES record for Donald Marecle was last updated on September 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.