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MARC L. GUTTMAN M.D.
NPI 1295709186
Emergency Medicine in Willimantic, CT

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment
92.22/100
CMS Quality Rating
112 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 456-9116(860) 963-6368 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marc L. Guttman M.d. NPPES

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

MARC L. GUTTMAN M.D. (NPI 1295709186) is an individual emergency medicine provider in Willimantic, Connecticut, licensed in Connecticut (041783) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2000).

NPPES Registry Identity

NPI1295709186
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARC L. GUTTMANCredential: M.D.
Location Address112 MANSFIELD AVEWillimantic, CT 06226-2045
Mailing Address202 Grassy Hill RdEast Lyme, CT 06333-1012 · (860) 691-0328
Phone(860) 456-9116
Fax(860) 963-6368
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2000
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 29, 2008
✔ NPI 1295709186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 041783
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
112 MANSFIELD AVE, Willimantic, CT 06226
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINI13487
Medicare ID-Type Unspecified930001207
Medicare PIN930001554CT

Accepted Insurance

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

Marc L. Guttman 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 ID9638144074
PECOS Enrollment IDI20051228000369
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
197 services193 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
82 services81 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06226 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

92.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.15
Promoting Interoperability100
Improvement Activities40
Cost58.82

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.

BETHANY JOY KENNEDY APRN
Nurse Practitioner (Acute Care)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-9116
MARLENE SCHWARTZ M.D.
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE, PULMONARY DISEASE DIVISION, HATCH WING
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-7279
WINDHAM COMMUNITY MEMORIAL HOSPITAL, INC.
General Acute Care Hospital
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6752
LORI BERNIER LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6793
JESSICA LISE VERCRUYSSE MD
Emergency Medicine
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (904) 265-6850
SAMER T MORCOS MD
Internal Medicine (Pulmonary Disease)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6713
ERIN CURRY BANE DNP CNM
Midwife
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6796
JESSICA L ST. LOUIS LCSW
Social Worker (Clinical)
112 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 456-6985

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 Guttman's NPI number?

The NPI number for Marc Guttman is 1295709186. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Marc Guttman located?

Marc Guttman practices at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 456-9116.

What is Marc Guttman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Guttman enrolled in Medicare?

Yes. Marc Guttman 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 Guttman accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Marc Guttman 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 Marc Guttman was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.