MARCELINO DANIEL ALBUERNE M.D.
NPI 1306817341
Internal Medicine - Geriatric Medicine in Catonsville, MD

Q: What is Marcelino Albuerne's NPI number?

The NPI number for Marcelino Albuerne is 1306817341. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Q: What is Marcelino Albuerne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Active since January 28, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 21D0936539 · Waiver

516 N ROLLING RD, SUITE 106, CATONSVILLE, MD 21228(410) 744-4044(410) 744-7923 Get Directions Write a Review

NPPES record last updated: August 6, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Marcelino Daniel Albuerne M.d. NPPES

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

MARCELINO DANIEL ALBUERNE M.D. (NPI 1306817341) is an individual geriatric medicine provider in Catonsville, Maryland, licensed in Maryland (D0029769) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 23, 2027, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1306817341

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameMARCELINO DANIEL ALBUERNECredential: M.D.

Location Address516 N ROLLING RD, SUITE 106Catonsville, MD 21228-4140

Mailing Address10309 Wetherburn RdEllicott City, MD 21042-1687 · (410) 465-6882

Phone(410) 744-4044

Fax(410) 744-7923

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateJanuary 28, 2006

Last NPPES UpdateAugust 6, 2010

✔ NPI 1306817341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in MD · D0029769

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

516 N ROLLING RD, Catonsville, MD 21228

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Other Identifiers 6

Other342001900MD · Medical Assistance

Medicare UPIND82722MD

OtherR704 0001DC · Carefirst

OtherP00830020GA · Railroad Medicare

Other587P212HMD · Medicare

Other41014402 (RENDERING)MD · Carefirst

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Marcelino Daniel Albuerne 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 ID6305843129

PECOS Enrollment IDI20061108000423

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

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

Privia Care Center LLC

7.7 mi

Internal Medicine

301 SAINT PAUL ST STE 409
Baltimore, MD 21202

Reassigned Medicare billing, Maryland enrollment
339 clinicians in this Medicare group

NPI 1730664012 (571) 366-8850

Privia Medical Group, LLC

34 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, Maryland enrollment
668 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D0936539

Marcelino D Albuerne MD PA Marcelino D Albuerne MD · Baltimore, MD

Active · expires Nov 23, 2027

CLIA Number21D0936539

Laboratory TypePhysician Office

Certificate Effective DateNovember 24, 2025

Certificate Expiration DateNovember 23, 2027

Laboratory DirectorDr. Marcelino D. Albuerne MD

Laboratory Phone(410) 744-4044

Laboratory LocationMarcelino D Albuerne MD PA Marcelino D Albuerne MD516 N Rolling Road Ste 106, Baltimore, MD 21228

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

282 services64 patients

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.

142 services80 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

105 services17 patients

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.

53 services41 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

45 services36 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

43 services43 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

32 services31 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

22 services22 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

22 services22 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

20 services19 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

17 services17 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21228 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

$183.44 typical visit price

range $60.73 – $183.44

Typical copayment $45.86 (range $15.18 – $45.86)

Most-billed visit code 99205

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

97%10,616 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

75%942 patients4/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

86%216 patients2/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

92%1,132 patients4/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

87%1,127 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

66%1,127 patients3/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

24%1,127 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 19

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

25 suppliers66 claims202 services$6.31 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

12 suppliers28 claims31 services$1.14 avg. paid by Medicare

Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each A4388

DME-Orthotic Devices · category DF010N

1 supplier12 claims240 services$3.86 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier16 claims1,052 services$0.10 avg. paid by Medicare

Tracheostomy care kit for established tracheostomy A4629

DME-Orthotic Devices · category DF000N

1 supplier11 claims333 services$4.35 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers30 claims1,563 services$6.88 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252

DME-Medical/Surgical Supplies · category DA023N

3 suppliers19 claims977 services$3.14 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

3 suppliers29 claims4,710 services$0.38 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier11 claims120 services$3.28 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers29 claims641 services$4.71 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

2 suppliers18 claims7,932 services$0.28 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers22 claims22 services$51.78 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

1 supplier19 claims19 services$4.59 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

2 suppliers14 claims782 services$5.06 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers34 claims1,592 services$0.79 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

3 suppliers21 claims21 services$12.44 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

3 suppliers12 claims13 services$8.89 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

6 suppliers41 claims41 services$197.27 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers31 claims31 services$25.25 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.

TRANQUIL MIND L.L.C.

Nurse Practitioner (Psychiatric/Mental Health)

516 N ROLLING RD
CATONSVILLE, MD 21228

Baltimore County (667) 290-5077

CHO C MAUNG MD

Internal Medicine (Hematology & Oncology)

516 N ROLLING RD, STE 301
CATONSVILLE, MD 21228

Baltimore County (410) 788-6603

ALYSSA GREGOR LMSW

Social Worker

516 N ROLLING RD
CATONSVILLE, MD 21228

Baltimore County (410) 572-7981

AADVANCE HOME HEALTH SERVICES, LLC

Nursing Care

516 N ROLLING RD, SUITE# 303
CATONSVILLE, MD 21228

Baltimore County (410) 744-8200

DR. PAUL SANGTAEK YI D.D.S.

Dentist (General Practice)

516 N ROLLING RD, STE 102
BALTIMORE, MD 21228

Baltimore County (410) 744-3446

DR. BAHMAN GUIV DDS

Dentist (General Practice)

516 N ROLLING RD, SUITE 202
CATONSVILLE, MD 21228

Baltimore County (410) 788-8848

DR. DAVID C BASTACKY DMD

Oral & Maxillofacial Surgery

516 N ROLLING RD, SUITE 104
BALTIMORE, MD 21228

Baltimore County (410) 744-4222

CHO C.MAUNG, MD, PA

Internal Medicine (Hematology & Oncology)

516 N ROLLING RD, SUITE 301
CATONSVILLE, MD 21228

Baltimore County (410) 788-6603

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 Marcelino Albuerne's NPI number?

The NPI number for Marcelino Albuerne is 1306817341. It was assigned to this individual provider in the NPPES registry on January 28, 2006.

Where is Marcelino Albuerne located?

Marcelino Albuerne practices at 516 N Rolling Rd Suite 106, Catonsville, MD 21228. The listed phone number is (410) 744-4044.

What is Marcelino Albuerne's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Marcelino Albuerne enrolled in Medicare?

Yes. Marcelino Albuerne 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 Marcelino Albuerne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcelino Albuerne reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Baltimore, MD) and Privia Medical Group, LLC (Arlington, VA). 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 Marcelino Albuerne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Marcelino Albuerne hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D0936539) is associated with this NPI, valid through November 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Marcelino Albuerne accept?

Health plans from Oscar Health list Marcelino Albuerne 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 Marcelino Albuerne was last updated on August 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

About Marcelino Daniel Albuerne M.d. NPPES

NPPES Registry Identity

Specialties & Licenses

Other Identifiers 6

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignments

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 21D0936539

Areas of Expertise CMS Part B claims 12

Physician Visit Costs CMS claims · ZIP area

Medicare Quality Performance CMS QPP · MIPS

Reported Quality Measures

Referred Medical Equipment & Supplies CMS DME claims 19

Other Providers at the Same Location NPPES 20

Frequently Asked Questions NPPES & CMS

What is Marcelino Albuerne's NPI number?

Where is Marcelino Albuerne located?

What is Marcelino Albuerne's specialty?

Is Marcelino Albuerne enrolled in Medicare?

Which organizations bill Medicare for Marcelino Albuerne's services?

Does Marcelino Albuerne hold a CLIA laboratory certificate?

What insurance does Marcelino Albuerne accept?

When was this NPI record last updated?

Certificate of Waiver 21D0936539