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MARILU COLON M.D.
NPI 1295842862
Internal Medicine - Rheumatology in St Augustine, FL

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 32086(904) 824-0869(904) 826-0966 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marilu Colon M.d. NPPES

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

MARILU COLON M.D. (NPI 1295842862) is an individual rheumatology provider in St Augustine, Florida, licensed in Florida (ME126977) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (1999).

NPPES Registry Identity

NPI1295842862
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMARILU COLONCredential: M.D.
Location Address1 SAINT JOHNS MEDICAL PARK DRSt Augustine, FL 32086-5300
Mailing Address2100 Kingsley AveOrange Park, FL 32073-5130 · (904) 276-0001 · Fax (904) 276-5333
Phone(904) 824-0869
Fax(904) 826-0966
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1999
Enumeration DateAugust 23, 2006
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1295842862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in FL · ME126977✔ Licensed in PR · 14631
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.
1 SAINT JOHNS MEDICAL PARK DR, St Augustine, FL 32086
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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

Marilu Colon 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 ID2567360878
PECOS Enrollment IDI20160429000245
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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
135 services98 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.
19 services18 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.
15 services15 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.
13 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 4

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

ST. AUGUSTINE FOOT & ANKLE, INC
Internal Medicine (Rheumatology)
1 SAINT JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-0869
CRAIG S SCHEIN DPM
Podiatrist
1 SAINT JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-0869
ST. AUGUSTINE FOOT & ANKLE, INC
Specialist
1 SAINT JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-0869
DR. THOMAS ANTHONY LEBEAU D.P.M.
Podiatrist (Foot & Ankle Surgery)
1 SAINT JOHNS MEDICAL PARK DR
ST AUGUSTINE, FL 32086
St. Johns County (904) 824-0869

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 Marilu Colon's NPI number?

The NPI number for Marilu Colon is 1295842862. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Marilu Colon located?

Marilu Colon practices at 1 Saint Johns Medical Park Dr, St Augustine, FL 32086. The listed phone number is (904) 824-0869.

What is Marilu Colon's specialty?

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

Is Marilu Colon enrolled in Medicare?

Yes. Marilu Colon 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.

When was this NPI record last updated?

The NPPES record for Marilu Colon was last updated on January 19, 2024. 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.