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DR. MARC MARGOLIS M.D.
NPI 1295771525
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Washington, DC

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
3800 RESERVOIR ROAD NW, PHC BUILDING 4TH FLOOR, WASHINGTON, DC 20007(202) 295-0560(877) 376-2421 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 27, 2020, Oct 9, 2018 (2 updates tracked since 2018).

About Dr. Marc Margolis M.d. NPPES

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

DR. MARC MARGOLIS M.D. (NPI 1295771525) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Washington, District Of Columbia, licensed in District Of Columbia (MD31894) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and maintains a secondary practice location in Reston.

NPPES Registry Identity

NPI1295771525
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. MARC MARGOLISCredential: M.D.
Location Address3800 RESERVOIR ROAD NW, PHC BUILDING 4TH FLOORWashington, DC 20007
Mailing Address3800 Reservoir Rd Nw, Phc Building, 4th FloorWashington, DC 20007-2113 · (202) 444-6985 · Fax (877) 376-2421
Phone(202) 295-0560
Fax(877) 376-2421
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1295771525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in DC · MD31894
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
3800 RESERVOIR ROAD NW, Washington, DC 20007
Open in Google Maps ↗

Secondary Practice Location 1

Location 11860 Town Center Dr Ste 310Reston, VA 20190-5899 · Phone (202) 295-0560 · Fax (877) 376-2421

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc Margolis 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 ID2769473107
PECOS Enrollment IDI20130717000485
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Marc Margolis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC
Same address
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Mgmc LLC
Same address
Psychiatry
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 861 clinicians in this Medicare group
NPI 1316949654 (888) 896-1400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

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.
110 services91 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.
90 services89 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
79 services63 patients
Fusion of lower spine bone through abdomen with partial removal of disc 22558
This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.
56 services56 patients
Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
53 services53 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
42 services42 patients

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20007 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers29 claims29 services$14.80 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers28 claims28 services$71.53 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 20

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

MS. SRUTHI NUKALAPATI REDDY M.D.
Internal Medicine
3800 RESERVOIR ROAD NW, 6 PHC
WASHINGTON, DC 20007
District of Columbia (202) 444-8123
ALESSANDRA MARTORELLA DO
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR ROAD NW, DEPT OF INTERNAL MEDICINE
WASHINGTON, DC 20007
District of Columbia (202) 741-1250
DR. HIND BENJELLOUN M.D.
Psychiatry & Neurology (Psychiatry)
3800 RESERVOIR ROAD NW
WASHINGTON, DC 20007
District of Columbia (202) 687-8609
DR. ABHISHEK LENKA MBBS
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR ROAD NW, 7 PHC, DEPARTMENT OF NEUROLOGY
WASHINGTON, DC 20007
District of Columbia (202) 444-1037
MS. MICHELLE A DENNING PT, MHSA
Physical Therapist
3800 RESERVOIR ROAD NW, PHYSICAL MEDICINE AND REHABILITATION
WASHINGTON, DC 20007
District of Columbia (202) 444-3692
PEYMEI CAITLYN WU PA-C
Physician Assistant (Medical)
3800 RESERVOIR ROAD NW, 2 PHC
WASHINGTON D.C., DC 20007
District of Columbia (202) 444-3700
DR. SUSAN LEE FLAMM HONIG M.D.
Internal Medicine (Hematology & Oncology)
3800 RESERVOIR ROAD NW
WASHINGTON, DC 20007
District of Columbia (202) 444-0848
MARIAM BELAL HAMMAD MD
Student in an Organized Health Care Education/Training Program
3800 RESERVOIR ROAD NW, DEPARTMENT OF MEDICINE AND PEDIATRICS
WASHINGTON, DC 20007
District of Columbia (202) 741-1250

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 Margolis's NPI number?

The NPI number for Marc Margolis is 1295771525. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Marc Margolis located?

Marc Margolis practices at 3800 Reservoir Road NW Phc Building 4th Floor, Washington, DC 20007. The listed phone number is (202) 295-0560.

What is Marc Margolis's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Marc Margolis enrolled in Medicare?

Yes. Marc Margolis 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.

Which organizations bill Medicare for Marc Margolis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Margolis reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Mgmc LLC (Washington, DC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Margolis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marc Margolis affiliated with any hospitals?

According to CMS data, Marc Margolis is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Marc Margolis was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.