MARC A JUDSON MD
NPI 1518064302
Internal Medicine - Pulmonary Disease in Albany, NY

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
76.7/100
CMS Quality Rating
16 NEW SCOTLAND AVE, ALBANY, NY 12208(518) 262-4458 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1518064302
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMARC A JUDSONCredential: MD
Location Address16 NEW SCOTLAND AVEAlbany, NY 12208-3504
Mailing Address16 New Scotland AveAlbany, NY 12208-3504 · (843) 792-1414
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
NPI 1518064302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in SC · 12525 Licensed in NY · 146534 Licensed in OH · 35.155011
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
16 NEW SCOTLAND AVE, Albany, NY 12208

Secondary Practice Location 1

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2200

Other Identifiers 1

Medicaid125251SC

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 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.

PECOS PAC ID7113024258
PECOS Enrollment IDI20110419001008, I20260317002067
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 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.

Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
176 services155 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services63 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
82 services79 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
57 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
52 services35 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
45 services40 patients

Hospital Affiliations CMS Care Compare

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.96
Promoting Interoperability74
Improvement Activities40
Cost61.04

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.

Obstetrics & Gynecology
16 NEW SCOTLAND AVE, 2ND FLOOR
ALBANY, NY 12208
Genetic Counselor, MS
16 NEW SCOTLAND AVE
ALBANY, NY 12208
Obstetrics & Gynecology
16 NEW SCOTLAND AVE, MC 74 2ND FLOOR
ALBANY, NY 12208
Pharmacy
16 NEW SCOTLAND AVE
ALBANY, NY 12208
Obstetrics & Gynecology
16 NEW SCOTLAND AVE
ALBANY, NY 12208
Internal Medicine (Rheumatology)
16 NEW SCOTLAND AVE
ALBANY, NY 12208
Obstetrics & Gynecology
16 NEW SCOTLAND AVE
ALBANY, NY 12208
Pharmacist
16 NEW SCOTLAND AVE, STE 1
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.

Is Marc Judson affiliated with any hospitals?

According to CMS data, Marc Judson is affiliated with Albany Medical Center Hospital.

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 5 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.