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DR. TSIMAFEI MARCHUK DO
NPI 1417525528
Surgery in Philadelphia, PA

Active since June 15, 2021PECOS Enrolled
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-3443 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Tsimafei Marchuk Do NPPES

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

DR. TSIMAFEI MARCHUK DO (NPI 1417525528) is an individual surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT020973) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1417525528
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. TSIMAFEI MARCHUKCredential: DO
Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098 · (215) 456-3443
Phone(215) 456-3443
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2021
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
✔ NPI 1417525528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · OT020973
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5501 OLD YORK RD, Philadelphia, PA 19141
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tsimafei Marchuk Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6800354721
PECOS Enrollment IDI20260820000991
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.

Medicare Billing Reassignment

Medicare enrollment records show Tsimafei Marchuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Butler Medical Providers
229 mi
Rural Health
82 TOWN RUN RD
Fairmount City, PA 16224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 482 clinicians in this Medicare group
NPI 1386253854 (814) 275-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19141 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 Tsimafei Marchuk's NPI number?

The NPI number for Tsimafei Marchuk is 1417525528. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Tsimafei Marchuk located?

Tsimafei Marchuk practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-3443.

What is Tsimafei Marchuk's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tsimafei Marchuk enrolled in Medicare?

Yes. Tsimafei Marchuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tsimafei Marchuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tsimafei Marchuk reassigns Medicare benefits to Butler Medical Providers (Fairmount City, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tsimafei Marchuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tsimafei Marchuk accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tsimafei Marchuk 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 Tsimafei Marchuk was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.