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JUDITH T MARCUS MD
NPI 1437139011
Psychiatry & Neurology - Psychiatry in Wilmington, DE

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
205 W 14TH ST, SUITE 100, WILMINGTON, DE 19801(302) 428-2100(302) 428-2121 Get Directions Write a Review

NPPES record last updated: April 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Judith T Marcus Md NPPES

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

JUDITH T MARCUS MD (NPI 1437139011) is an individual psychiatry provider in Wilmington, Delaware, licensed in Delaware (C10006391) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1437139011
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameJUDITH T MARCUSCredential: MD
Location Address205 W 14TH ST, SUITE 100Wilmington, DE 19801-1114
Mailing Address205 W 14th St, Suite 100Wilmington, DE 19801-1114 · (302) 428-2100 · Fax (302) 428-2121
Phone(302) 428-2100
Fax(302) 428-2121
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 19, 2006
Last NPPES UpdateApril 1, 2013
✔ NPI 1437139011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in DE · C10006391
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
205 W 14TH ST, Wilmington, DE 19801
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Other Identifiers 2

Medicare UPINH54434DE
Medicare PIN008905C60DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judith T Marcus 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 ID6103954771
PECOS Enrollment IDI20150519000225
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 Reassignments

5

Medicare enrollment records show Judith Marcus reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Clinics LLC
2,382 mi
Rural Health
36860 INDUSTRIAL WAY
Sandy, OR 97055
  • Reassigned Medicare billing, Oregon enrollment
  • 1,248 clinicians in this Medicare group
NPI 1730472192 (503) 826-0206
Legacy Salmon Creek Hospital
2,396 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Legacy Emanuel Hospital & Health Center
2,399 mi
General Acute Care Hospital
1225 NE 2ND AVE
Portland, OR 97232
  • Reassigned Medicare billing, Oregon enrollment
  • 719 clinicians in this Medicare group
NPI 1003367491 (503) 944-8000
Silverton Health
2,399 mi
Clinic/Center
861 W MAIN ST
Molalla, OR 97038
  • Reassigned Medicare billing, Oregon enrollment
  • 568 clinicians in this Medicare group
NPI 1861116055 (503) 874-5653
Legacy Meridian Park Hospital
2,404 mi
Hospitalist
19300 SW 65TH AVE
Tualatin, OR 97062
  • Reassigned Medicare billing, Oregon enrollment
  • 218 clinicians in this Medicare group
NPI 1023305034 (503) 692-1212

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

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 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.
107 services27 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
85 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19801 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
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99
Promoting Interoperability100
Improvement Activities40
Cost88.63

Other Providers at the Same Location NPPES 5

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

MARY BETH TRANSUE LCSW
Social Worker (Clinical)
205 W 14TH ST, SWANK MEMORY CARE CENTER, SUITE 100A
WILMINGTON, DE 19801
New Castle County (302) 428-2664
JANET BROWN APRN
Nurse Practitioner (Psychiatric/Mental Health)
205 W 14TH ST, SUITE 100
WILMINGTON, DE 19801
New Castle County (302) 421-2100
MICHAEL N MARCUS MD
Psychiatry & Neurology (Psychiatry)
205 W 14TH ST, SUITE100
WILMINGTON, DE 19801
New Castle County (302) 428-2100
DR. SEEMA BIPIN DATTANI M.D.
Family Medicine (Geriatric Medicine)
205 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 428-2637
CYNTHIA M FANNING
Social Worker (Clinical)
205 W 14TH ST, SUITE 100A
WILMINGTON, DE 19801
New Castle County (302) 320-2620

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 Judith Marcus's NPI number?

The NPI number for Judith Marcus is 1437139011. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Judith Marcus located?

Judith Marcus practices at 205 W 14th St Suite 100, Wilmington, DE 19801. The listed phone number is (302) 428-2100.

What is Judith Marcus's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Judith Marcus enrolled in Medicare?

Yes. Judith Marcus 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.

Which organizations bill Medicare for Judith Marcus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Marcus reassigns Medicare benefits to 5 organizations: Legacy Clinics LLC (Sandy, OR), Legacy Salmon Creek Hospital (Vancouver, WA), Legacy Emanuel Hospital & Health Center (Portland, OR), Silverton Health (Molalla, OR) and Legacy Meridian Park Hospital (Tualatin, OR). Each 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 Judith Marcus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Marcus accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Judith Marcus 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 Judith Marcus was last updated on April 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.