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ANNE-MARIE MARCOUX M.D.
NPI 1487644639
Colon & Rectal Surgery in Langhorne, PA

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
86.02/100
CMS Quality Rating
1203 LANGHORNE NEWTOWN RD, SUITE 130, LANGHORNE, PA 19047(215) 741-4910(215) 741-4394 Get Directions Write a Review

NPPES record last updated: April 21, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Anne-marie Marcoux M.d. NPPES

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

ANNE-MARIE MARCOUX M.D. (NPI 1487644639) is an individual colon & rectal surgery provider in Langhorne, Pennsylvania, licensed in Pennsylvania (MD043858E) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of University Of Rochester School Of Medicine And Dentistry (1983).

NPPES Registry Identity

NPI1487644639
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameANNE-MARIE MARCOUXCredential: M.D.
Location Address1203 LANGHORNE NEWTOWN RD, SUITE 130Langhorne, PA 19047-1233
Mailing Address1203 Langhorne Newtown Rd, Suite 130Langhorne, PA 19047-1233 · (215) 741-4910 · Fax (215) 741-4394
Phone(215) 741-4910
Fax(215) 741-4394
Sole ProprietorNo
Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 1983
Enumeration DateOctober 27, 2005
Last NPPES UpdateApril 21, 2008
✔ NPI 1487644639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in PA · MD043858E
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1203 LANGHORNE NEWTOWN RD, Langhorne, PA 19047
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Other Identifiers 3

Medicare ID-Type Unspecified624062PA
Medicare UPINE54595PA
Medicaid001295672PA

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

Anne-marie Marcoux 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 ID2860589546
PECOS Enrollment IDI20090408000635, I20210119001263
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

2

Medicare enrollment records show Anne-marie Marcoux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Center For Colon And Rectal Health, Inc.
0.7 mi
Colon & Rectal Surgery
1203 LANGHORNE NEWTOWN RD, SUITE 130
Langhorne, PA 19047
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 2 clinicians in this Medicare group
NPI 1831338466 (215) 741-4910
Regional Gastroenterology Associates Of Lancaster, Ltd.
76 mi
Gastroenterology
2112 HARRISBURG PIKE STE 202
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 343 clinicians in this Medicare group
NPI 1154422806 (717) 869-4600

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 10

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.

Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
69 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
54 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
30 services28 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19047 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.

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.

86.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality75.74
Promoting Interoperability99
Improvement Activities40
Cost78.48

Reported Quality Measures

Breast Cancer Screening
50%230 patients3/55-star benchmark: 93%
Cervical Cancer Screening
51%256 patients3/55-star benchmark: 98%
Colorectal Cancer Screening
88%403 patients5/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%819 patients5/55-star benchmark: 100%
e-Prescribing
99%150 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%746 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
19%808 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
76%184 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 285 patients
Patients totalRate: 2% · 285 patients
1%285 patients4/55-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.

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.

DR. MICHAEL DANIEL MANDEL PHARMD
Pharmacist
1203 LANGHORNE NEWTOWN RD
LANGHORNE, PA 19047
Bucks County (215) 710-7427
MR. JOHN TAYLOR WHEELER PA-C
Physician Assistant (Surgical)
1203 LANGHORNE NEWTOWN RD, SUITE 138
LANGHORNE, PA 19047
Bucks County (215) 741-3141
DR. MARK R. MCLAUGHLIN M.D.
Neurological Surgery
1203 LANGHORNE NEWTOWN RD, SUITE 138
LANGHORNE, PA 19047
Bucks County (215) 741-3141
JONATHAN GOLD M.D.
Internal Medicine (Cardiovascular Disease)
1203 LANGHORNE NEWTOWN RD, SUITE 320
LANGHORNE, PA 19047
Bucks County (215) 750-7818
DR. RICHARD L TURNER D.O.
Obstetrics & Gynecology
1203 LANGHORNE NEWTOWN RD, SUITE 225
LANGHORNE, PA 19047
Bucks County (215) 750-7771
JACLYN GONZALEZ
Physician Assistant
1203 LANGHORNE NEWTOWN RD, SUITE 225
LANGHORNE, PA 19047
Bucks County (215) 710-6613
DR. ROBERT E REILLY DO
Internal Medicine (Hematology & Oncology)
1203 LANGHORNE NEWTOWN RD, SUITE 135
LANGHORNE, PA 19047
Bucks County (215) 750-5050
ANNE C COSTELLO JACKSON MSN,CRNP
Nurse Practitioner (Adult Health)
1203 LANGHORNE NEWTOWN RD, SUITE 226
LANGHORNE, PA 19047
Bucks County (215) 752-3330

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 Anne-marie Marcoux's NPI number?

The NPI number for Anne-marie Marcoux is 1487644639. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Anne-marie Marcoux located?

Anne-marie Marcoux practices at 1203 Langhorne Newtown Rd Suite 130, Langhorne, PA 19047. The listed phone number is (215) 741-4910.

What is Anne-marie Marcoux's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Anne-marie Marcoux enrolled in Medicare?

Yes. Anne-marie Marcoux 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 Anne-marie Marcoux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anne-marie Marcoux reassigns Medicare benefits to 2 organizations: Center For Colon And Rectal Health, Inc. (Langhorne, PA) and Regional Gastroenterology Associates Of Lancaster, Ltd. (Lancaster, PA). 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 Anne-marie Marcoux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Anne-marie Marcoux affiliated with any hospitals?

According to CMS data, Anne-marie Marcoux is affiliated with St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Anne-marie Marcoux was last updated on April 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.