DR. MARIE ANN CZAPLICKI-MARGIOTTI M.D.
NPI 1528094927
Orthopaedic Surgery in Sparta, NJ
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
Specialties & Licenses
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.
Other Identifiers 5
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.
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.
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, NJHackettstown Medical Center
Acute Care Hospitals · Hackettstown, NJPhysician 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.
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
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.
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.