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DR. LARRY M MARCUS MD
NPI 1497743991
Otolaryngology in Norway, ME

Active since October 10, 2005PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Dr. Larry M Marcus Md NPPES

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

DR. LARRY M MARCUS MD (NPI 1497743991) is an individual otolaryngology provider in Norway, Maine, licensed in Maine (MD24353) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Stephens Memorial Hospital, and is a graduate of University Of Nebraska College Of Medicine (1980).

NPPES Registry Identity

NPI1497743991
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. LARRY M MARCUSCredential: MD
Location Address193 MAIN STNorway, ME 04268-5645
Mailing Address193 Main StNorway, ME 04268-5645 · Fax (207) 743-2835
Phone(207) 743-2835
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1980
Enumeration DateOctober 10, 2005
Last NPPES UpdateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1497743991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in ME · MD24353
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 029258 (CT)
193 MAIN ST, Norway, ME 04268
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Dr. Larry M 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 ID9830221159
PECOS Enrollment IDI20210222001077
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.

Hospital Affiliations CMS Care Compare

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

Stephens Memorial Hospital

Critical Access Hospitals · Norway, ME
OwnershipVoluntary non-profit - Private
CMS Certification Number201315
Location181 Main StreetNorway, ME 04268 · Oxford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04268 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
99%735 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. MARTIN D WHITAKER M.D.
Ophthalmology
193 MAIN ST
NORWAY, ME 04268
Oxford County (207) 743-0027
CAROLYN PLOURDE MD
Obstetrics & Gynecology
193 MAIN ST, SUITE 9
NORWAY, ME 04268
Oxford County (207) 743-7605
BRIAN MICHAEL NOLAN MD
Internal Medicine
193 MAIN ST, SUITE 1
NORWAY, ME 04268
Oxford County (207) 743-7721
JENNIFER REBECCA BLASTOW NP-C
Nurse Practitioner (Family)
193 MAIN ST, SUITE 1
NORWAY, ME 04268
Oxford County (207) 743-7721
EMILY KARONIS
Nurse Practitioner (Pediatrics)
193 MAIN ST
NORWAY, ME 04268
Oxford County (207) 743-8766
GREGORY J HARDY
Obstetrics & Gynecology
193 MAIN ST, SUITE 3
NORWAY, ME 04268
Oxford County (207) 743-7605
JENNIFER D SUNDAY DO
Pediatrics
193 MAIN ST, SUITE 9
NORWAY, ME 04268
Oxford County (207) 743-8766
ERIC KARL OSBORNE D.O.
Surgery
193 MAIN ST
NORWAY, ME 04268
Oxford County (207) 743-2544

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 Larry Marcus's NPI number?

The NPI number for Larry Marcus is 1497743991. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Larry Marcus located?

Larry Marcus practices at 193 Main St, Norway, ME 04268. The listed phone number is (207) 743-2835.

What is Larry Marcus's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Larry Marcus enrolled in Medicare?

Yes. Larry 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.

What insurance does Larry Marcus accept?

Health plans from Harvard Pilgrim Health Care list Larry 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.

Is Larry Marcus affiliated with any hospitals?

According to CMS data, Larry Marcus is affiliated with Stephens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Larry Marcus was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.