DR. MARIE ANN CZAPLICKI-MARGIOTTI M.D.
NPI 1528094927
Orthopaedic Surgery in Sparta, NJ

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
350 SPARTA AVE, C-7, SPARTA, NJ 07871(973) 940-8100 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Marie Ann Czaplicki-margiotti M.d. NPPES

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

DR. MARIE ANN CZAPLICKI-MARGIOTTI M.D. (NPI 1528094927) is an individual orthopaedic surgery provider in Sparta, New Jersey, licensed in Pennsylvania (MD418845) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Newton Medical Center, and is a graduate of Rutgers New Jersey Medical School (1974).

NPPES Registry Identity

NPI1528094927
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARIE ANN CZAPLICKI-MARGIOTTICredential: M.D.
Location Address350 SPARTA AVE, C-7Sparta, NJ 07871-1120
Mailing Address350 Sparta Ave, C-7Sparta, NJ 07871-1120 · (973) 729-1113 · Fax (570) 409-1106
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1974
Enumeration DateJune 25, 2006
Last NPPES UpdateApril 9, 2013
NPI 1528094927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in PA · MD418845 Licensed in NJ · 25MA03065800
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

350 SPARTA AVE, Sparta, NJ 07871

Other Identifiers 5

Medicare ID-Type Unspecified057090PA · Medicare
Medicaid001888189PA
Medicare UPINE80616PA
Medicare PIN057090ZDQTNJ
Medicare PIN456050ZDCFNJ

Accepted 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. Marie Ann Czaplicki-margiotti 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 ID2567427008
PECOS Enrollment IDI20071115000137
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 4

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.

Established patient office or other outpatient visit, 20-29 minutes 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.
38 services25 patients
New patient office or other outpatient visit, 30-44 minutes 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.
18 services18 patients
Initial hospital inpatient care per day, typically 30 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
14 services14 patients
Hip replacement NAN09
A hip replacement is a surgical procedure where a worn-out or damaged hip joint is replaced with an artificial one. This procedure can greatly reduce pain and improve mobility. It's often recommended when other treatments like physical therapy or medications fail to alleviate symptoms.
0 services1 patient

Hospital Affiliations CMS Care Compare 2

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

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
15%159 patients1/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
79%615 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%72 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
17%282 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%296 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
1%530 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 172 patients
0%172 patients
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 18

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

Psychologist
350 SPARTA AVE, STE C-8
SPARTA, NJ 07871
Psychiatry & Neurology (Psychiatry)
350 SPARTA AVE, #A-5
SPARTA, NJ 07871
Internal Medicine
350 SPARTA AVE, B6B
SPARTA, NJ 07871
Anesthesiology
350 SPARTA AVE
SPARTA, NJ 07871
Ophthalmology
350 SPARTA AVE, BLDG A
SPARTA, NJ 07871
Surgery (Vascular Surgery)
350 SPARTA AVE, UNIT B6B
SPARTA, NJ 07871
Orthopaedic Surgery
350 SPARTA AVE
SPARTA, NJ 07871
Optometrist
350 SPARTA AVE
SPARTA, NJ 07871

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 Marie Czaplicki-margiotti's NPI number?

The NPI number for Marie Czaplicki-margiotti is 1528094927. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Marie Czaplicki-margiotti located?

Marie Czaplicki-margiotti practices at 350 Sparta Ave C-7, Sparta, NJ 07871. The listed phone number is (973) 940-8100.

What is Marie Czaplicki-margiotti's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Marie Czaplicki-margiotti enrolled in Medicare?

Yes. Marie Czaplicki-margiotti 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 Marie Czaplicki-margiotti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marie Czaplicki-margiotti 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 Marie Czaplicki-margiotti affiliated with any hospitals?

According to CMS data, Marie Czaplicki-margiotti is affiliated with Newton Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Marie Czaplicki-margiotti was last updated on April 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.