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DR. JAMES FRANCIS MARION MD
NPI 1306869474
Internal Medicine - Gastroenterology in New York, NY

Active since July 26, 2006PECOS EnrolledAccepts Medicare Assignment
1 GUSTAVE L LEVY PL, BOX 3000, NEW YORK, NY 10029(212) 987-3100(212) 731-5210 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. James Francis Marion Md NPPES

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

DR. JAMES FRANCIS MARION MD (NPI 1306869474) is an individual gastroenterology provider in New York, New York, licensed in New York (183069) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1995).

NPPES Registry Identity

NPI1306869474
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JAMES FRANCIS MARIONCredential: MD
Location Address1 GUSTAVE L LEVY PL, BOX 3000New York, NY 10029-6504
Mailing Address12 E 86th St, Suite 1New York, NY 10028-0506 · (212) 861-2000 · Fax (212) 628-3648
Phone(212) 987-3100
Fax(212) 731-5210
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1995
Enumeration DateJuly 26, 2006
Last NPPES UpdateOctober 11, 2013
✔ NPI 1306869474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 183069
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1 GUSTAVE L LEVY PL, New York, NY 10029
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Other Identifiers 1

Medicare UPINF36541NY

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

Dr. James Francis Marion 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.

PECOS PAC ID9436342771
PECOS Enrollment IDI20101020000001
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 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.

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.
194 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
112 services62 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
72 services71 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.
53 services39 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.
35 services33 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Mount Sinai Beth Israel

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330169
LocationFirst Avenue At 16th StreetNew York, NY 10003 · New York County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier11 claims12 services$3.51 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers24 claims890 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims460 services$6.02 avg. paid by Medicare
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce A4455
DME-Medical/Surgical Supplies · category DA000N
3 suppliers19 claims70 services$1.28 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims605 services$0.23 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
2 suppliers15 claims690 services$2.62 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.

MRS. LAURA MANNING R.D., C.D.N.
Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
New York County (212) 241-9426
AMY JAYANT SANGHVI MD
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
New York County (212) 241-0748
MOUNT SINAI MEDICAL CENTER
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (800) 637-4624
ANURADHA LALA-TRINDADE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 987-3100
RENA DYMERSKY RPA-C, MS
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500
JENNY H CHUNG PHARMD, RN, FNP-BC
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
New York County (212) 659-8006
ERIKA JACOBSON RD,CDN
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (917) 241-5633
SARAH ALICIA REDA
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500

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 James Marion's NPI number?

The NPI number for James Marion is 1306869474. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is James Marion located?

James Marion practices at 1 Gustave L Levy Pl Box 3000, New York, NY 10029. The listed phone number is (212) 987-3100.

What is James Marion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Marion enrolled in Medicare?

Yes. James Marion 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.

Is James Marion affiliated with any hospitals?

According to CMS data, James Marion is affiliated with Mount Sinai Hospital and Mount Sinai Beth Israel.

When was this NPI record last updated?

The NPPES record for James Marion was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.