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: July 19, 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
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

Other Identifiers 2

Medicare UPINH54434DE
Medicare PIN008905C60DE

Accepted 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

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
58 services25 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
43 services21 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
41 services13 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services13 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.

Nurse Practitioner (Psychiatric/Mental Health)
205 W 14TH ST, SUITE 100
WILMINGTON, DE 19801
Social Worker (Clinical)
205 W 14TH ST, SWANK MEMORY CARE CENTER, SUITE 100A
WILMINGTON, DE 19801
Family Medicine (Geriatric Medicine)
205 W 14TH ST
WILMINGTON, DE 19801
Social Worker (Clinical)
205 W 14TH ST, SUITE 100A
WILMINGTON, DE 19801
Psychiatry & Neurology (Psychiatry)
205 W 14TH ST, SUITE100
WILMINGTON, DE 19801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437139011, enumerated as an "individual" on January 19, 2006.

The provider is located at 205 W 14TH ST SUITE 100 WILMINGTON, DE 19801 and the phone number is (302) 428-2100.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.

The provider might be accepting Accepts: BridgeSpan Health Company, Kaiser Permanente, Moda. Please consult your insurance carrier or call the provider to verify.