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DR. MARLO H MARCHELEOVICH D.O.
NPI 1326240409
Family Medicine in Somerset, PA

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
229 S KIMBERLY AVE, SOMERSET, PA 15501(814) 445-3575(814) 445-8039 Get Directions Write a Review

NPPES record last updated: August 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marlo H Marcheleovich D.o. NPPES

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

DR. MARLO H MARCHELEOVICH D.O. (NPI 1326240409) is an individual family medicine provider in Somerset, Pennsylvania, licensed in Pennsylvania (OS013867) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Somerset, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2005).

NPPES Registry Identity

NPI1326240409
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARLO H MARCHELEOVICHCredential: D.O.
Location Address229 S KIMBERLY AVESomerset, PA 15501-2022
Mailing Address329 S Pleasant AveSomerset, PA 15501-2262 · (814) 445-3575 · Fax (814) 445-8039
Phone(814) 445-3575
Fax(814) 445-8039
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2005
Enumeration DateJune 1, 2007
Last NPPES UpdateAugust 9, 2010
✔ NPI 1326240409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS013867
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
229 S KIMBERLY AVE, Somerset, PA 15501
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Other Identifiers 2

Medicare PIN132431PA
Medicaid1021637230001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Marlo H Marcheleovich D.o. 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 ID7416024898
PECOS Enrollment IDI20080926000455
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 11

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.
336 services222 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.
239 services239 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.
180 services116 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
42 services34 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
41 services41 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.
24 services23 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15501 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers22 claims53 services$5.80 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers12 claims16 services$1.06 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$19.19 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers13 claims74 services$2.23 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
1 supplier12 claims12 services$45.02 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers14 claims14 services$68.26 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 7

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

SOMERSET OB/GYN ASSOCIATES, LTD
Specialist
229 S KIMBERLY AVE, SUITE 200
SOMERSET, PA 15501
Somerset County (814) 445-3535
AIMEE S ENOS CRNP
Nurse Practitioner (Family)
229 S KIMBERLY AVE, SUITE 200
SOMERSET, PA 15501
Somerset County (814) 445-3535
WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
229 S KIMBERLY AVE, SUITE 100
SOMERSET, PA 15501
Somerset County (814) 445-6127
SOMERSET OB/GYN ASSOCAITES, LTD
Nurse Practitioner (Women's Health)
229 S KIMBERLY AVE, SUITE 200
SOMERSET, PA 15501
Somerset County (814) 445-3535
SOMERSET OB/GYN ASSOCAITES, LTD
Midwife
229 S KIMBERLY AVE, SUITE 200
SOMERSET, PA 15501
Somerset County (814) 445-3535
CAROL A MANSPEAKER CNM
Midwife
229 S KIMBERLY AVE, SUITE 200
SOMERSET, PA 15501
Somerset County (814) 445-3535
GODWIN DEVADHAS PACKIARAJ M.D
Surgery
229 S KIMBERLY AVE
SOMERSET, PA 15501
Somerset County (412) 639-7194

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 Marlo Marcheleovich's NPI number?

The NPI number for Marlo Marcheleovich is 1326240409. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Marlo Marcheleovich located?

Marlo Marcheleovich practices at 229 S Kimberly Ave, Somerset, PA 15501. The listed phone number is (814) 445-3575.

What is Marlo Marcheleovich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marlo Marcheleovich enrolled in Medicare?

Yes. Marlo Marcheleovich 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.

What insurance does Marlo Marcheleovich accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marlo Marcheleovich 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 Marlo Marcheleovich affiliated with any hospitals?

According to CMS data, Marlo Marcheleovich is affiliated with Upmc Somerset, Conemaugh Memorial Medical Center, Magee Womens Hospital Of Upmc Health System, Excela Health Westmoreland Regional Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Marlo Marcheleovich was last updated on August 9, 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.