DR. MARC J HIRSH M.D.
NPI 1285735944
Internal Medicine - Rheumatology in Delray Beach, FL

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
14610 S MILITARY TRL STE G3, DELRAY BEACH, FL 33484(561) 819-3100(561) 819-3119 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2023, Jul 26, 2023, Nov 19, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Marc J Hirsh M.d. NPPES

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

DR. MARC J HIRSH M.D. (NPI 1285735944) is an individual rheumatology provider in Delray Beach, Florida, licensed in Florida (ME 76989) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of University Of Florida College Of Medicine (1996).

NPPES Registry Identity

NPI1285735944
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MARC J HIRSHCredential: M.D.
Location Address14610 S MILITARY TRL STE G3Delray Beach, FL 33484-3801
Mailing Address14610 S Military Trl Ste G3Delray Beach, FL 33484-3801 · (561) 819-3100 · Fax (561) 819-3119
Fax(561) 819-3119
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1996
Enumeration DateSeptember 26, 2006
Last NPPES UpdateNovember 17, 20234 updates tracked since enumeration
NPPES CertifiedNovember 17, 2023
NPI 1285735944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in FL · ME 76989
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License ME76989 (FL)
14610 S MILITARY TRL STE G3, Delray Beach, FL 33484

Accepted 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

Dr. Marc J Hirsh 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 ID3577651538
PECOS Enrollment IDI20080123000266
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 64

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.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
269,200 services121 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
37,755 services19 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
37,575 services95 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
32,550 services58 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
23,969 services1,314 patients
Injection, golimumab, 1 mg, for intravenous use J1602
Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.
22,870 services43 patients

Hospital Affiliations CMS Care Compare 4

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Delray Medical Center

Acute Care Hospitals · Delray Beach, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100258
Location5352 Linton BlvdDelray Beach, FL 33484 · Palm Beach County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33484 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,962 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
84%557 patients4/55-star benchmark: 91%
Falls: Screening for Future Fall Risk
100%1,949 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 99% · 1,861 patients
Patients screened: 100% · 1,861 patients
74%43 patients3/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
100%381 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%1,201 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier45 claims59 services$46.71 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier21 claims27 services$66.57 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 8

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

Internal Medicine
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484
Internal Medicine (Rheumatology)
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484
Physician Assistant
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484
Physician Assistant (Medical)
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484
Internal Medicine (Rheumatology)
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484
Internal Medicine (Rheumatology)
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484
Internal Medicine (Rheumatology)
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484
Internal Medicine (Rheumatology)
14610 S MILITARY TRL STE G3
DELRAY BEACH, FL 33484

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 Marc Hirsh's NPI number?

The NPI number for Marc Hirsh is 1285735944. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Marc Hirsh located?

Marc Hirsh practices at 14610 S Military Trl Ste G3, Delray Beach, FL 33484. The listed phone number is (561) 819-3100.

What is Marc Hirsh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Marc Hirsh enrolled in Medicare?

Yes. Marc Hirsh 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 Marc Hirsh accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Marc Hirsh 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 Marc Hirsh affiliated with any hospitals?

According to CMS data, Marc Hirsh is affiliated with Bethesda Hospital Inc, Cleveland Clinic Martin North Hospital, Boca Raton Regional Hospital and Delray Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Hirsh was last updated on November 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.