MARC A JUDSON MD
NPI 1518064302
Internal Medicine - Pulmonary Disease in Albany, NY
About Marc A Judson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC A JUDSON MD (NPI 1518064302) is an individual pulmonary disease provider in Albany, New York, licensed in South Carolina (12525) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains a secondary practice location in Cleveland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Marc A Judson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Marc Judson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albany, NY 12208
- Reassigned Medicare billing, New York enrollment
- 1,640 clinicians in this Medicare group
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albany Medical Center Hospital
Acute Care Hospitals · Albany, NYCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALBANY, NY 12208
ALBANY, NY 12208
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 Judson's NPI number?
The NPI number for Marc Judson is 1518064302. It was assigned to this individual provider in the NPPES registry on September 20, 2006.
Where is Marc Judson located?
Marc Judson practices at 16 New Scotland Ave, Albany, NY 12208. The listed phone number is (518) 262-4458.
What is Marc Judson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Marc Judson enrolled in Medicare?
Yes. Marc Judson 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 Marc Judson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Judson reassigns Medicare benefits to 2 organizations: Albany Medical College (Albany, NY) and The Cleveland Clinic Foundation (Cleveland, OH). 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 Marc Judson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marc Judson accept?
Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Corporation of Ohio list Marc Judson 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 Marc Judson affiliated with any hospitals?
According to CMS data, Marc Judson is affiliated with Albany Medical Center Hospital and Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Marc Judson was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Marc A Judson, MD · NPI 1518064302
Pulmonary Disease physician in Albany, New York. Individual provider, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1518064302 (Entity type: Individual)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** 12525 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 16 NEW SCOTLAND AVE, Albany, NY 12208-3504
- **Phone:** (518) 262-4458
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Albany Medical College (NPI 1497921688, Albany, NY); The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Vanderbilt University School Of Medicine, class of 1980
## Record status
- **NPPES last updated:** March 5, 2026
- **Other identifiers:** Medicaid 125251 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1518064302) · Data from the CMS NPPES public registry.