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MARJORIE MCTHAY FNP
NPI 1386071355
Nurse Practitioner - Family in Sunny Isles Beach, FL

Active since October 04, 2013PECOS EnrolledAccepts Medicare Assignment
46.31/100
CMS Quality Rating
100 KINGS POINT DR, #1714, SUNNY ISLES BEACH, FL 33160(954) 668-1328 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marjorie Mcthay Fnp NPPES

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

MARJORIE MCTHAY FNP (NPI 1386071355) is an individual family provider in Sunny Isles Beach, Florida, licensed in Florida (ARNP9288472) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1386071355
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARJORIE MCTHAYCredential: FNP
Location Address100 KINGS POINT DR, #1714Sunny Isles Beach, FL 33160-4774
Mailing Address100 Kings Point Dr, #1714Sunny Isles Beach, FL 33160-4774 · (954) 668-1328
Phone(954) 668-1328
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 4, 2013
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1386071355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · ARNP9288472
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License ARNP9288472 (FL)
100 KINGS POINT DR, Sunny Isles Beach, FL 33160
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Marjorie Mcthay Fnp 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 ID6608196704
PECOS Enrollment IDI20151119002694
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 2

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.
21 services21 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33160 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

46.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality51.03
Improvement Activities0
Cost60.81

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 Marjorie Mcthay's NPI number?

The NPI number for Marjorie Mcthay is 1386071355. It was assigned to this individual provider in the NPPES registry on October 4, 2013.

Where is Marjorie Mcthay located?

Marjorie Mcthay practices at 100 Kings Point Dr #1714, Sunny Isles Beach, FL 33160. The listed phone number is (954) 668-1328.

What is Marjorie Mcthay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marjorie Mcthay enrolled in Medicare?

Yes. Marjorie Mcthay 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 Marjorie Mcthay accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Marjorie Mcthay 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.

When was this NPI record last updated?

The NPPES record for Marjorie Mcthay was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.