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MARCIA ANNE DOVER MD
NPI 1356452312
Psychiatry & Neurology - Neurology in Dover, NJ

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
369 WEST BLACKWELL ST, DOVER, NJ 07801(973) 361-7606(973) 361-8942 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcia Anne Dover Md NPPES

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

MARCIA ANNE DOVER MD (NPI 1356452312) is an individual neurology provider in Dover, New Jersey, licensed in New Jersey (MA75817) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Yale University School Of Medicine (1998).

NPPES Registry Identity

NPI1356452312
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMARCIA ANNE DOVERCredential: MD
Location Address369 WEST BLACKWELL STDover, NJ 07801-2560
Mailing Address369 West Blackwell StDover, NJ 07801-2560 · (973) 361-7606 · Fax (973) 361-8942
Phone(973) 361-7606
Fax(973) 361-8942
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1998
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356452312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NJ · MA75817
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
369 WEST BLACKWELL ST, Dover, NJ 07801
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINH94185
Medicare ID-Type Unspecified073261A3L

Accepted Insurance

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

Marcia Anne Dover 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 ID3274695176
PECOS Enrollment IDI20111213000250
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.
722 services411 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.
271 services235 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.
181 services181 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.
98 services82 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.
57 services57 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
51 services31 patients

Hospital Affiliations CMS Care Compare 5

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07801 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

Reported Quality Measures

Dementia Associated Behavioral and Psychiatric Symptoms Screening and Management
Percentage of patients with dementia for whom there was a documented symptoms screening* for behavioral and psychiatric symptoms, including depression, AND for whom, if symptoms screening was positive, there was also documentation of recommendations for…
70%73 patients1/55-star benchmark: 100%
Dementia: Caregiver Education and Support
Percentage of patients with dementia whose caregiver(s)* were provided with education** on dementia disease management and health behavior changes AND were referred to additional resources*** for support in the last 12 months
9%65 patients1/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
94%72 patients4/55-star benchmark: 100%
Dementia: Safety Concerns Screening and Mitigation Recommendations or Referral for Patients with Dementia
Percentage of patients with dementia or their caregiver(s) for whom there was a documented safety concerns screening * in two domains of risk: 1) dangerousness to self or others and 2) environmental risks; and if safety concerns screening was positive in the…
94%72 patients3/55-star benchmark: 100%
Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for cognitive impairment or dysfunction in the past 12 months
60%52 patients3/55-star benchmark: 100%
Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months
52%54 patients3/55-star benchmark: 100%
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.

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.

INFANTA ANUSHA STEPHEN MD
Psychiatry & Neurology (Neurology)
369 WEST BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 361-7606
PAUL JOSEPH VALLONE MD
Surgery (Plastic and Reconstructive Surgery)
369 WEST BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 366-3005
ERIC STEVEN ENGLESTEIN MD PHD
Psychiatry & Neurology (Neurology)
369 WEST BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 361-7606
WAYNE LEWIS GREENE MD
Psychiatry & Neurology (Neurology)
369 WEST BLACKWELL ST
DOVER, NJ 07801
Morris County (973) 361-7606

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 Marcia Dover's NPI number?

The NPI number for Marcia Dover is 1356452312. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Marcia Dover located?

Marcia Dover practices at 369 West Blackwell St, Dover, NJ 07801. The listed phone number is (973) 361-7606.

What is Marcia Dover's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Marcia Dover enrolled in Medicare?

Yes. Marcia Dover 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 Marcia Dover accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Marcia Dover 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 Marcia Dover affiliated with any hospitals?

According to CMS data, Marcia Dover is affiliated with Morristown Medical Center, Newton Medical Center, Saint Clare's Hospital/ Denville Campus, St Luke's Warren Hospital and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Marcia Dover was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.