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DR. MARC S WHITMAN MD
NPI 1386780195
Internal Medicine - Infectious Disease in Trenton, NJ

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
40 FULD ST, SUITE 305, TRENTON, NJ 08638(609) 394-6338 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marc S Whitman Md NPPES

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

DR. MARC S WHITMAN MD (NPI 1386780195) is an individual infectious disease provider in Trenton, New Jersey, licensed in New Jersey (25MA06315900) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1386780195
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MARC S WHITMANCredential: MD
Location Address40 FULD ST, SUITE 305Trenton, NJ 08638-5247
Mailing Address40 Fuld St, Suite 305Trenton, NJ 08638-5247 · (609) 394-6338
Phone(609) 394-6338
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1386780195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · 25MA06315900
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedSpecialistTaxonomy 174400000X · License MA63159 (NJ)
Also ListedInternal MedicineTaxonomy 207R00000X · License MA63159 (NJ)
40 FULD ST, Trenton, NJ 08638
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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

Dr. Marc S Whitman 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 ID9436212107
PECOS Enrollment IDI20090107000460
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.

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.
691 services335 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
207 services189 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.
43 services36 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.
41 services22 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.
32 services31 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08638 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
47%68 patients3/55-star benchmark: 93%
Cervical Cancer Screening
41%69 patients2/55-star benchmark: 98%
Colorectal Cancer Screening
32%287 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
56%140 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
11%95 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
60%95 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
23%2,011 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
73%133 patients3/55-star benchmark: 100%
HIV Screening
12%266 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
43%298 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
55%393 patients3/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%359 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 59% · 393 patients
Patients screened: 63% · 393 patients
60%35 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%140 patients3/55-star benchmark: 91%
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 20

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

DR. ABDUL W MUGHAL M.D.
Internal Medicine (Hematology & Oncology)
40 FULD ST, SUITE 404
TRENTON, NJ 08638
Mercer County (609) 394-0660
MERCER COUNTY HEMATOLOGY & ONCOLOGY
Internal Medicine (Hematology & Oncology)
40 FULD ST, SUITE 404
TRENTON, NJ 08638
Mercer County (609) 394-0660
NILESH RANA MD
Internal Medicine
40 FULD ST, SUITE 302
TRENTON, NJ 08638
Mercer County (609) 537-7223
CAPITAL HEALTH SURGICAL GROUP
Surgery (Trauma Surgery)
40 FULD ST, SUITE 303
TRENTON, NJ 08638
Mercer County (609) 396-2600
MERCER INTERNISTS P.C.
Internal Medicine
40 FULD ST, STE 302
TRENTON, NJ 08638
Mercer County (609) 393-0067
PULMONARY AND INTERNAL MEDICINE ASSOCIATES PA
Internal Medicine (Pulmonary Disease)
40 FULD ST, SUITE 201
TRENTON, NJ 08638
Mercer County (609) 695-4358
CAPITAL INFECTIOUS DISEASE CONSULTANTS PC
Internal Medicine (Infectious Disease)
40 FULD ST, STE 305
TRENTON, NJ 08638
Mercer County (609) 815-7773
KUN H CHO MD PA
Surgery
40 FULD ST, SUITE 200
TRENTON, NJ 08638
Mercer County (609) 393-3571

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 Marc Whitman's NPI number?

The NPI number for Marc Whitman is 1386780195. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Marc Whitman located?

Marc Whitman practices at 40 Fuld St Suite 305, Trenton, NJ 08638. The listed phone number is (609) 394-6338.

What is Marc Whitman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Marc Whitman enrolled in Medicare?

Yes. Marc Whitman 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 Marc Whitman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Marc Whitman 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 Marc Whitman affiliated with any hospitals?

According to CMS data, Marc Whitman is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Whitman was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.