DR. MARC A. DALL'ERA M.D.
NPI 1326134859
Urology in San Francisco, CA

Q: What is Marc Dall'era's NPI number?

The NPI number for Marc Dall'era is 1326134859. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Marc Dall'era's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Dall'era was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment

73.79/100

CMS Quality Rating

1600 DIVISADERO STREET, SAN FRANCISCO, CA 94143(415) 353-7171(415) 353-7093 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Marc A. Dall'era M.d. NPPES

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

DR. MARC A. DALL'ERA M.D. (NPI 1326134859) is an individual urology provider in San Francisco, California, licensed in California (A95571) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2000).

NPPES Registry Identity

NPI1326134859

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameDR. MARC A. DALL'ERACredential: M.D.

Location Address1600 DIVISADERO STREETSan Francisco, CA 94143-1695

Mailing Address1635 Divisadero Street, Suite 625, Box 1821San Francisco, CA 94143

Phone(415) 353-7171

Fax(415) 353-7093

Sole ProprietorNo

Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2000

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 6, 2008

✔ NPI 1326134859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A95571

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1600 DIVISADERO STREET, San Francisco, CA 94143

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Other Identifiers 2

Medicare PIN00A955710CA

Medicaid00A955710CA

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 A. Dall'era 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 ID8325101561

PECOS Enrollment IDI20090114000064

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 Marc Dall'era reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The Univ Of Ca

64 mi

Medical Microbiology

3146 TUPPER HALL
Davis, CA 95616

Reassigned Medicare billing, California enrollment
2,570 clinicians in this Medicare group

NPI 1053304071 (530) 752-9402

Regents Of The University Of California

64 mi

Multi-Specialty

2660 W COVELL BLVD
Davis, CA 95616

Reassigned Medicare billing, California enrollment
918 clinicians in this Medicare group

NPI 1912987553 (530) 747-3000

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 25

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.

130 services117 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

111 services76 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

100 services100 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

93 services93 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.

91 services85 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

81 services64 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

81 services70 patients

Telephone medical discussion with physician, 5-10 minutes 99441

80 services76 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

57 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

55 services52 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.

45 services42 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.

39 services39 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

25 services25 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

25 services21 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.

24 services24 patients

High-intensity ultrasound destruction of cancerous tissue in prostate gland, accessed through rectum using ultrasound guidance 55880

This is a non-invasive procedure where high-intensity sound waves are directed to the affected area in the lower body to destroy unhealthy tissue. It's done via a probe inserted through a natural body opening, using sound wave images for precision.

23 services23 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.

21 services12 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm 52234

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

20 services20 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

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

16 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Telephone medical discussion with physician, 11-20 minutes 99442

14 services14 patients

Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866

This is a minimally invasive procedure where a small camera (endoscope) is used to remove a gland located in the lower body and nearby small filtering structures. It's done to prevent the spread of unwanted cells and improve overall health.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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

$153.83 typical visit price

range $69.00 – $202.35

Typical copayment $38.45 (range $17.25 – $50.58)

Most-billed visit code 99204

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

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.

73.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.87

Promoting Interoperability

Improvement Activities

Cost

36.93

Reported Quality Measures

Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)

Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…

100%70 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 10

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

4 suppliers13 claims4,710 services$0.11 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

3 suppliers20 claims5,286 services$1.49 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

3 suppliers17 claims3,470 services$6.19 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

7 suppliers75 claims194 services$9.00 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

4 suppliers37 claims950 services$4.28 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

3 suppliers39 claims1,340 services$5.58 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 11

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

DR. FREDERIC M WALDMAN MD

Pathology (Clinical Pathology/Laboratory Medicine)

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7241

GORDON L FUNG MD

Internal Medicine (Cardiovascular Disease)

1600 DIVISADERO STREET, SUITE C-244 #1609
SAN FRANCISCO, CA 94143

San Francisco County (415) 885-3666

DR. MICHELLE ELIZABETH MELISKO MD

Internal Medicine (Medical Oncology)

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7070

DR. ROBERT J. RUSHAKOFF MD

Internal Medicine

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 885-3868

DR. ALAN P. VENOOK MD

Internal Medicine (Medical Oncology)

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-9888

ADRIENNE MILLER WAKELING M.S.

Genetic Counselor, MS

1600 DIVISADERO STREET, 3RD FLOOR
SAN FRANCISCO, CA 94143

San Francisco County (415) 514-6644

DR. BRIAN S. SCHWARTZ MD

Internal Medicine

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 885-3725

DR. LAURA J. ESSERMAN MD

Surgery (Surgical Oncology)

1600 DIVISADERO STREET
SAN FRANCISCO, CA 94143

San Francisco County (415) 353-7070

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 Dall'era's NPI number?

The NPI number for Marc Dall'era is 1326134859. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Marc Dall'era located?

Marc Dall'era practices at 1600 Divisadero Street, San Francisco, CA 94143. The listed phone number is (415) 353-7171.

What is Marc Dall'era's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Marc Dall'era enrolled in Medicare?

Yes. Marc Dall'era 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 Dall'era's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Dall'era reassigns Medicare benefits to 2 organizations: Regents Of The Univ Of Ca (Davis, CA) and Regents Of The University Of California (Davis, CA). 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 Dall'era's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marc Dall'era was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.