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MARCO A LACERDA M.D.
NPI 1386774172
Internal Medicine - Gastroenterology in Indianapolis, IN

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202(888) 484-3258 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Nov 30, 2020 (2 updates tracked since 2020).

About Marco A Lacerda M.d. NPPES

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

MARCO A LACERDA M.D. (NPI 1386774172) is an individual gastroenterology provider in Indianapolis, Indiana, licensed in Indiana (01062698A) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1386774172
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMARCO A LACERDACredential: M.D.
Location Address1701 N SENATE BLVDIndianapolis, IN 46202-1239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959 · (877) 668-5621
Phone(888) 484-3258
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateMarch 7, 2007
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1386774172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IN · 01062698A
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1701 N SENATE BLVD, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 1550 University Blvd, SUITE 100Indianapolis, IN 46202-5149 · Phone (317) 278-0861

Other Identifiers 1

Medicaid200853230IN

Accepted Insurance

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

Marco A Lacerda 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 ID7214022201
PECOS Enrollment IDI20071005000354
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 6

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.
168 services115 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.
65 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
50 services16 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.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
14 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Iu Health West Hospital

Acute Care Hospitals · Avon, IN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number150158
Location1111 N Ronald Reagan PkwyAvon, IN 46123 · Hendricks County
Emergency services Birthing friendly

Indiana University Health Arnett Hospital

Acute Care Hospitals · Lafayette, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150173
Location5165 Mccarty LnLafayette, IN 47905 · Tippecanoe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 9

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

Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers15 claims780 services$1.58 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
3 suppliers32 claims13,560 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
33 suppliers331 claims26,625 services$0.30 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers23 claims3,330 services$0.59 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
15 suppliers185 claims34,920 services$0.18 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers61 claims11,100 services$0.94 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 20

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

THOMAS M DONAHUE MD
Anesthesiology
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 577-4200
DR. GINA MARIE DIANTONIO SWARTZEL M.D.
Emergency Medicine
1701 N SENATE BLVD, B401
INDIANAPOLIS, IN 46202
Marion County (317) 962-5975
NASER A KAFEEL DO
Internal Medicine
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-8776
ZACHARY JARRETT DO
Internal Medicine (Critical Care Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 962-5820
BARBRA A BACHMEIER NP
Nurse Practitioner (Family)
1701 N SENATE BLVD, RM AG 001
INDIANAPOLIS, IN 46202
Marion County (317) 962-3886
MARK H HOYER MD
Pediatrics (Pediatric Cardiology)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (317) 678-3900
SHALINI K MANCHANDA MD
Internal Medicine (Sleep Medicine)
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202
Marion County (888) 484-3258
SEAN DAVID GUSSICK MD
Radiology (Diagnostic Radiology)
1701 N SENATE BLVD, RADIOLOGY DEPT
INDIANAPOLIS, IN 46202
Marion County (317) 962-5740

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 Marco Lacerda's NPI number?

The NPI number for Marco Lacerda is 1386774172. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Marco Lacerda located?

Marco Lacerda practices at 1701 N Senate Blvd, Indianapolis, IN 46202. The listed phone number is (888) 484-3258.

What is Marco Lacerda's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marco Lacerda enrolled in Medicare?

Yes. Marco Lacerda 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 Marco Lacerda accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Marco Lacerda 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 Marco Lacerda affiliated with any hospitals?

According to CMS data, Marco Lacerda is affiliated with Indiana University Health Bloomington Hospital, Indiana University Health, Indiana University Health Ball Memorial Hospital, Iu Health West Hospital and Indiana University Health Arnett Hospital.

When was this NPI record last updated?

The NPPES record for Marco Lacerda was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.