MR. MARC GABRIEL GUMUCIO NP-C
NPI 1528412699
Nurse Practitioner - Family in Middleburg Heights, OH

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment
17840 BAGLEY RD, MIDDLEBURG HEIGHTS, OH 44130(440) 531-6000 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Marc Gabriel Gumucio Np-c NPPES

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

MR. MARC GABRIEL GUMUCIO NP-C (NPI 1528412699) is an individual family provider in Middleburg Heights, Ohio, licensed in Ohio (COA.19026) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1528412699
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MARC GABRIEL GUMUCIOCredential: NP-C
Location Address17840 BAGLEY RDMiddleburg Heights, OH 44130-3401
Mailing Address26361 Hickory LnOlmsted Falls, OH 44138-2733 · (216) 513-4314
Sole ProprietorNo
Medical School CMSCalifornia Eclectic Medical CollegeGraduated 2016
Enumeration DateApril 14, 2016
Last NPPES UpdateAugust 23, 2023
NPPES CertifiedAugust 23, 2023
NPI 1528412699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in OH · COA.19026
17840 BAGLEY RD, Middleburg Heights, OH 44130

Secondary Practice Location 1

Location 118101 Lorain AveCleveland, OH 44111-5612 · Phone (216) 476-7000

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

Mr. Marc Gabriel Gumucio Np-c 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 ID5092001495
PECOS Enrollment IDI20160912001336
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 3

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.

Follow-up hospital inpatient care per day, typically 35 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.
98 services79 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services12 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Pharmacist
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Pharmacist
17840 BAGLEY RD
CLEVELAND, OH 44130
Pharmacy (Community/Retail Pharmacy)
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Family Medicine
17840 BAGLEY RD
CLEVELAND, OH 44130
Occupational Therapist
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Pharmacist
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Physical Therapist
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130
Family Medicine
17840 BAGLEY RD
MIDDLEBURG HEIGHTS, OH 44130

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 Gumucio's NPI number?

The NPI number for Marc Gumucio is 1528412699. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Where is Marc Gumucio located?

Marc Gumucio practices at 17840 Bagley Rd, Middleburg Heights, OH 44130. The listed phone number is (440) 531-6000.

What is Marc Gumucio's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marc Gumucio enrolled in Medicare?

Yes. Marc Gumucio 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 Marc Gumucio accept?

Health plans from Oscar Insurance Corporation of Ohio list Marc Gumucio 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 Gumucio affiliated with any hospitals?

According to CMS data, Marc Gumucio is affiliated with Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Marc Gumucio was last updated on August 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.