JESUS N MARCELO MD
NPI 1457331159
Internal Medicine in Richland, WA

Q: What is Jesus Marcelo's NPI number?

The NPI number for Jesus Marcelo is 1457331159. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Q: What is Jesus Marcelo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesus Marcelo was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment

829 GOETHALS DR, RICHLAND, WA 99352(509) 547-2204(509) 542-8836 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 13, 2017, Jan 27, 2016 (2 updates tracked since 2016).

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About Jesus N Marcelo Md NPPES

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

JESUS N MARCELO MD (NPI 1457331159) is an individual internal medicine provider in Richland, Washington, licensed in Washington (MD00039738) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Trios Health, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1457331159

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJESUS N MARCELOCredential: MD

Location Address829 GOETHALS DRRichland, WA 99352-3529

Mailing AddressPo Box 1452Pasco, WA 99301-1223 · (509) 547-2204 · Fax (509) 542-8836

Phone(509) 547-2204

Fax(509) 542-8836

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateJanuary 19, 2006

Last NPPES UpdateFebruary 13, 20172 updates tracked since enumeration

✔ NPI 1457331159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD00039738

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License MD00039738 (WA)

829 GOETHALS DR, Richland, WA 99352

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Other Identifiers 3

Medicare UPINH78948

Medicaid8327611WA

Medicare ID-Type UnspecifiedAB35328WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Jesus N Marcelo 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 ID3072522440

PECOS Enrollment IDI20070827000011

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 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.

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.

129 services114 patients

Hemoglobin a1c level, by device for home use 83037

A Hemoglobin A1c device for home use allows you to check your average blood sugar levels over the past 3 months. It's a simple, painless test that provides immediate results, helping you manage your diabetes more effectively.

87 services67 patients

Hospital Affiliations CMS Care Compare 3

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

Trios Health

Acute Care Hospitals · Kennewick, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500053

Location900 South Auburn StreetKennewick, WA 99336 · Benton County

Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500058

Location888 Swift BlvdRichland, WA 99352 · Benton County

Emergency services Birthing friendly

Lourdes Medical Center

Critical Access Hospitals · Pasco, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number501337

Location520 N Fourth AvenuePasco, WA 99301 · Franklin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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

$130.99 typical visit price

range $57.27 – $172.80

Typical copayment $32.74 (range $14.31 – $43.20)

Most-billed visit code 99204

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

2%56 patients

Breast Cancer Screening

62%291 patients3/55-star benchmark: 93%

Cervical Cancer Screening

37%295 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

33%639 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

43%634 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

64%458 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

33%282 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

26%282 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

95%2,130 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

75%346 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

70%995 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

70%716 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

38%1,053 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 91% · 764 patients

Patients screened: 96% · 764 patients

67%126 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

77%357 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 365 patients

Patients totalRate: 13% · 382 patients

14%382 patients3/55-star benchmark: 100%

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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

13 suppliers60 claims188 services$6.44 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers21 claims44 services$1.14 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims361 services$5.82 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims3,840 services$0.69 avg. paid by Medicare

Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims288 services$0.67 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

1 supplier11 claims11 services$10.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

TRI-CITIES COMMUNITY HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))