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DR. MARCO ANTONIO LORIO M.D
NPI 1295140937
Internal Medicine - Infectious Disease in Missoula, MT

Active since June 20, 2014PECOS EnrolledAccepts Medicare Assignment
85.43/100
CMS Quality Rating
500 W BROADWAY ST, MISSOULA, MT 59802(406) 543-7271(406) 327-1834 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 25, 2021, Sep 16, 2019 (2 updates tracked since 2019).

About Dr. Marco Antonio Lorio M.d NPPES

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

DR. MARCO ANTONIO LORIO M.D (NPI 1295140937) is an individual infectious disease provider in Missoula, Montana, licensed in Montana (78112) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1295140937
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MARCO ANTONIO LORIOCredential: M.D
Location Address500 W BROADWAY STMissoula, MT 59802-4008
Mailing Address500 W Broadway StMissoula, MT 59802-4008 · (406) 543-7271 · Fax (406) 327-1834
Phone(406) 543-7271
Fax(406) 327-1834
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 20, 2014
Last NPPES UpdateJuly 15, 20252 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1295140937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in MT · 78112
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 78112 (MT)
500 W BROADWAY ST, Missoula, MT 59802
Open in Google Maps ↗

Other Names 1

Other Name (5)Marco Antonio Lorio Rugama Md

Secondary Practice Locations 4

Location 1902 N Orange StMissoula, MT 59802-2928 · Phone (406) 327-1732 · Fax (406) 329-2621
Location 21611 NW 12th AveMiami, FL 33136-1005 · Phone (786) 506-3362
Location 3430 Windward Way Ste 100Kalispell, MT 59901-2619 · Phone (406) 751-5364 · Fax (406) 751-5367
Location 4210 Sunnyview Ln Ste 105Kalispell, MT 59901-3128 · Phone (406) 756-4727 · Fax (406) 751-5350

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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. Marco Antonio Lorio 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 ID1153652359
PECOS Enrollment IDI20191018000388
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 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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
241 services109 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
161 services110 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
126 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
62 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
47 services44 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
44 services44 patients

Hospital Affiliations CMS Care Compare 5

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Clark Fork Valley Hospital

Critical Access Hospitals · Plains, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271323
Location10 Kruger RdPlains, MT 59859 · Sanders County
Emergency services

St Luke Community Hospital

Critical Access Hospitals · Ronan, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271325
Location107 6th Ave SWRonan, MT 59864 · Lake County
Emergency services

Community Hospital Of Anaconda

Critical Access Hospitals · Anaconda, MT
OwnershipVoluntary non-profit - Private
CMS Certification Number271335
Location401 W PennsylvaniaAnaconda, MT 59711 · Deer Lodge County
Emergency services Birthing friendly

Bitterroot Health - Daly Hospital

Critical Access Hospitals · Hamilton, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number271340
Location1200 Westwood DrHamilton, MT 59840 · Ravalli County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59802 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
$130.52 typical visit price
range $56.81 – $172.26
Typical copayment $32.63 (range $14.20 – $43.06)
Most-billed visit code 99204
Established Patient
$100.16 typical visit price
range $18.24 – $140.32
Typical copayment $25.04 (range $4.56 – $35.08)
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.

85.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.98
Promoting Interoperability100
Improvement Activities40
Cost65.45

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.

SIMONE MUSCO MD
Internal Medicine (Clinical Cardiac Electrophysiology)
500 W BROADWAY ST, STE 320
MISSOULA, MT 59802
Missoula County (406) 329-5615
PROVIDENCE HEALTH & SERVICES MT
General Acute Care Hospital
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 543-7271
JAMIE BELKOWSKI PHARMACIST
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 543-7271
DR. DESIREE NICOLE OWSLEY PHARMD
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 327-1650
JEANNIE H SWAIN PHARMD
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 329-5721
HEATHER HIGHTOWER NP
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 728-2539
MR. CURTIS G WICKRE MD
Internal Medicine (Nephrology)
500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802
Missoula County (406) 327-1900
DR. TRAVIS OWEN ABICHT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST
MISSOULA, MT 59802
Missoula County (406) 329-5615

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 Marco Lorio's NPI number?

The NPI number for Marco Lorio is 1295140937. It was assigned to this individual provider in the NPPES registry on June 20, 2014. The provider is also known as Marco Antonio Lorio Rugama MD.

Where is Marco Lorio located?

Marco Lorio practices at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 543-7271.

What is Marco Lorio's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Marco Lorio enrolled in Medicare?

Yes. Marco Lorio 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 Marco Lorio accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Marco Lorio 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 Marco Lorio affiliated with any hospitals?

According to CMS data, Marco Lorio is affiliated with St. Patrick Hospital, Clark Fork Valley Hospital, St Luke Community Hospital, Community Hospital Of Anaconda and Bitterroot Health - Daly Hospital.

When was this NPI record last updated?

The NPPES record for Marco Lorio was last updated on July 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.