MARLON J NAVARRO MD
NPI 1295822948
Internal Medicine - Rheumatology in Eau Claire, WI
About Marlon J Navarro Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARLON J NAVARRO MD (NPI 1295822948) is an individual rheumatology provider in Eau Claire, Wisconsin, licensed in Wisconsin (43188) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1996).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
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
Marlon J Navarro Md 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.
Medicare Billing Reassignments
6Medicare enrollment records show Marlon Navarro reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eau Claire, WI 54701
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1952890873 (Wisconsin)
- 2,476 clinicians in this Medicare group
Chetek, WI 54728
- Reassigned Medicare billing, Wisconsin enrollment
- 1,616 clinicians in this Medicare group
Neillsville, WI 54456
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1346239373 (Wisconsin)
- 1,440 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 clinicians in this Medicare group
Park Falls, WI 54552
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1700963048 (Wisconsin)
- 1,351 clinicians in this Medicare group
Columbus, WI 53925
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Beaver Dam Community Hospitals Inc.
- 1,447 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Marshfield Medical Center - Rice Lake
Acute Care Hospitals · Rice Lake, WIMarshfield Medical Center
Acute Care Hospitals · Marshfield, WIMayo Clinic Health System Eau Claire Hospital
Acute Care Hospitals · Eau Claire, WIMarshfield Medical Center - Eau Claire
Acute Care Hospitals · Eau Claire, WIMarshfield Medical Center - Ladysmith
Critical Access Hospitals · Ladysmith, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Marlon Navarro's NPI number?
The NPI number for Marlon Navarro is 1295822948. It was assigned to this individual provider in the NPPES registry on October 6, 2006.
Where is Marlon Navarro located?
Marlon Navarro practices at 2116 Craig Rd, Eau Claire, WI 54701. The listed phone number is (715) 858-4538.
What is Marlon Navarro's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.
Is Marlon Navarro enrolled in Medicare?
Yes. Marlon Navarro 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 Marlon Navarro's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marlon Navarro reassigns Medicare benefits to 6 organizations: Mchs Hospitals Inc (Eau Claire, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI), Flambeau Hospital Inc (Park Falls, WI) and 1 more organization, listed in the Medicare section above. 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 Marlon Navarro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marlon Navarro accept?
Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Sanford Health Plan and Security Health Plan list Marlon Navarro 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 Marlon Navarro affiliated with any hospitals?
According to CMS data, Marlon Navarro is affiliated with Marshfield Medical Center - Rice Lake, Marshfield Medical Center, Mayo Clinic Health System Eau Claire Hospital, Marshfield Medical Center - Eau Claire and Marshfield Medical Center - Ladysmith.
When was this NPI record last updated?
The NPPES record for Marlon Navarro was last updated on November 21, 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.
# Marlon J Navarro, MD · NPI 1295822948
Rheumatology physician in Eau Claire, Wisconsin. Individual provider, active in the CMS NPPES registry since October 6, 2006.
## Identity
- **NPI:** 1295822948 (Entity type: Individual)
- **Enumerated:** October 6, 2006
- **Primary specialty:** Internal Medicine - Rheumatology · taxonomy 207RR0500X
- **State license:** 43188 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2116 CRAIG RD, Eau Claire, WI 54701-6149
- **Phone:** (715) 858-4538
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Mchs Hospitals Inc (NPI 1316416035, Eau Claire, WI); Lakeview Medical Center Inc Of Rice Lake (NPI 1659008605, Chetek, WI); Memorial Hospital Inc (NPI 1033701800, Neillsville, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI); Flambeau Hospital Inc (NPI 1194317966, Park Falls, WI); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In New Orleans, class of 1996
## Record status
- **NPPES last updated:** November 21, 2023
- **Other identifiers:** Medicaid 34079400 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1295822948) · Data from the CMS NPPES public registry.