MARC J PHILIPPON MD
NPI 1376582486
Orthopaedic Surgery in Vail, CO

Q: What is Marc Philippon's NPI number?

The NPI number for Marc Philippon is 1376582486. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Q: What is Marc Philippon's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: Is Marc Philippon enrolled in Medicare?

No. Marc Philippon has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Marc Philippon was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 June 05, 2006Opted out of Medicare · through Apr 1, 2027

181 W MEADOW DR STE 400, VAIL, CO 81657(970) 476-1100 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marc J Philippon Md NPPES

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

MARC J PHILIPPON MD (NPI 1376582486) is an individual orthopaedic surgery provider in Vail, Colorado, licensed in Colorado (43239) and active in the NPI registry since June 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Doral.

NPPES Registry Identity

NPI1376582486

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameMARC J PHILIPPONCredential: MD

Location Address181 W MEADOW DR STE 400Vail, CO 81657-5058

Mailing Address181 W Meadow Dr, Suite 400Vail, CO 81657-5242 · (970) 476-1100

Phone(970) 476-1100

Sole ProprietorNo

Enumeration DateJune 5, 2006

Last NPPES UpdateFebruary 7, 2025

NPPES CertifiedFebruary 7, 2025

✔ NPI 1376582486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in CO · 43239

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 43239 (CO)

Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License 43239 (CO)

181 W MEADOW DR STE 400, Vail, CO 81657

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Secondary Practice Location 1

Location 12801 NW 79th AveDoral, FL 33122-1174 · Phone (786) 466-1000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marc J Philippon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2016 through April 1, 2027.

Opt-Out Effective DateApril 1, 2016

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81657 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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.

BRIAN T. REID PA-C

Physician Assistant