MARC J SHAPIRO M.D.
NPI 1457319840
Emergency Medicine in New Haven, CT

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
20 YORK ST, YALE NEW HAVEN HOSPITAL, NEW HAVEN, CT 06510(203) 688-4242 Get Directions Write a Review

NPPES record last updated: November 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc J Shapiro M.d. NPPES

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

MARC J SHAPIRO M.D. (NPI 1457319840) is an individual emergency medicine provider in New Haven, Connecticut, licensed in Massachusetts (224163) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Tufts University School Of Medicine (1989).

NPPES Registry Identity

NPI1457319840
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARC J SHAPIROCredential: M.D.
Location Address20 YORK ST, YALE NEW HAVEN HOSPITALNew Haven, CT 06510-3220
Mailing Address464 Congress Ave, Suite 260New Haven, CT 06519-1361 · (203) 785-4404 · Fax (203) 785-4580
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1989
Enumeration DateMay 3, 2006
Last NPPES UpdateNovember 22, 2011
NPI 1457319840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in MA · 224163
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

20 YORK ST, New Haven, CT 06510

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

Marc J Shapiro 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 ID840291977
PECOS Enrollment IDI20181115002784
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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
94 services94 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.
39 services39 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services37 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL
NEW HAVEN, CT 06510
Emergency Medicine
20 YORK ST, YNHH SOUTH PAVILION 218
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPITAL SOUTH PAVILION 218
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, YALE CHILDREN'S HOSPITAL, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Medical Genetics (Clinical Genetics (M.D.))
20 YORK ST, CHILDREN'S HOSPITAL AT YALE, WEST PAVILION, 2ND FLOOR
NEW HAVEN, CT 06510
Psychiatry & Neurology (Psychiatry)
20 YORK ST
NEW HAVEN, CT 06510
Radiology (Diagnostic Radiology)
20 YORK ST, YALE NEW HAVEN HOSPITAL-SOUTH PAVILLION-2ND FL
NEW HAVEN, CT 06510
Physician Assistant
20 YORK ST, YALE NEW HAVEN HOSPTIAL EMERGENCY DEPARTMENT
NEW HAVEN, CT 06510

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 Shapiro's NPI number?

The NPI number for Marc Shapiro is 1457319840. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Marc Shapiro located?

Marc Shapiro practices at 20 York St Yale New Haven Hospital, New Haven, CT 06510. The listed phone number is (203) 688-4242.

What is Marc Shapiro's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Shapiro enrolled in Medicare?

Yes. Marc Shapiro 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.

Is Marc Shapiro affiliated with any hospitals?

According to CMS data, Marc Shapiro is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for Marc Shapiro was last updated on November 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.