MR. JOSE A MARCHOSKY M.D.
NPI 1558307272
Specialist in Chesterfield, MO

NPI Status: Active since June 21, 2006

Contact Information

226 S WOODS MILL RD
SUITE 54 W
CHESTERFIELD, MO
ZIP 63017
Phone: (314) 878-0808
Fax: (314) 878-0847

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  • Individual
  • Male
  • Years of Experience 57
  • Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOSE MARCHOSKY

This page provides the complete NPI Profile along with additional information for Jose Marchosky, a provider established in Chesterfield, Missouri with a medical specialization in Specialist and more than 57 years of experience. He graduated from University Of Puerto Rico School Of Medicine in 1970. The healthcare provider is registered in the NPI registry with number 1558307272 assigned on June 2006. The practitioner's primary taxonomy code is 174400000X with license number R4651 (MO). The provider is registered as an individual and his NPI record was last updated 10 years ago.

NPI
1558307272
Provider Name
MR. JOSE A MARCHOSKY M.D.
Gender
Male
Entity Type
Individual
Location Address
226 S WOODS MILL RD SUITE 54 W CHESTERFIELD, MO 63017
Location Phone
(314) 878-0808
Location Fax
(314) 878-0847
Mailing Address
PO BOX 4520 CAROL STREAM, IL 60197
Mailing Phone
(314) 432-2580
Mailing Fax
(314) 878-0847
Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year
1970
Is Sole Proprietor?
No
Enumeration Date
06-21-2006
Last Update Date
10-05-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
R4651
License State
MO
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Bronze Essential (No Referrals) - EPO
  • UHC Bronze Standard (No Referrals) - EPO
  • UHC Bronze Standard+ (Dental + Vision, No Referrals) - EPO
  • UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals) - EPO
  • UHC Gold Standard (No Referrals) - EPO
  • UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - EPO
  • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
  • UHC Silver Standard (No Referrals) - EPO
  • UHC Silver Standard+ (Dental + Vision, No Referrals) - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000014163OTHER (01)MOMEDICARE PTAN
194767OTHER (01)MOGHP
0600032OTHER (01)MOUHC
A28694MEDICARE UPIN (02)MO 
101144OTHER (01)MOHEALTHLINK
P00110866OTHER (01)MORR MEDICARE
916044163MEDICARE ID-TYPE UNSPECIFIED (04)MOINDIVIDUAL PROVIDER
22527OTHER (01)MOBCBS
200536888OTHER (01)MOTAX ID#
A28694OTHER (01)MOMERCY

Medicare Participation & PECOS Enrollment Status

Jose Marchosky is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jose Marchosky is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2163416017

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040413000872

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 31 times for 13 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 18 times for 12 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jose Marchosky is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ST LUKES HOSPITAL232 S WOODS MILL RD
CHESTERFIELD, MO 63017
(314) 434-1500Acute Care Hospitals

Reviews for MR. JOSE A MARCHOSKY M.D.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558307272, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
0
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 6 + 0 + 1 + 4 + 2 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1558307272.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
226 S WOODS MILL RD, SUITE 62 WEST
CHESTERFIELD, MO 63017
Otolaryngology
226 S WOODS MILL RD, SUITE 37 WEST
CHESTERFIELD, MO 63017
Internal Medicine (Gastroenterology)
226 S WOODS MILL RD, SUITE 52 WEST
CHESTERFIELD, MO 63017
Internal Medicine (Gastroenterology)
226 S WOODS MILL RD, SUITE 52 WEST
CHESTERFIELD, MO 63017
Obstetrics & Gynecology (Reproductive Endocrinology)
226 S WOODS MILL RD, SUITE 39 WEST
CHESTERFIELD, MO 63017
Internal Medicine (Gastroenterology)
226 S WOODS MILL RD, SUITE 52 WEST
CHESTERFIELD, MO 63017
Internal Medicine (Gastroenterology)
226 S WOODS MILL RD, SUITE 52 WEST
CHESTERFIELD, MO 63017
Internal Medicine
226 S WOODS MILL RD, SUITE 43 WEST
CHESTERFIELD, MO 63017
Internal Medicine
226 S WOODS MILL RD, STE 56 WEST
CHESTERFIELD, MO 63017
Ophthalmology
226 S WOODS MILL RD, SUITE 51 WEST
CHESTERFIELD, MO 63017
Internal Medicine
226 S WOODS MILL RD, SUITE 56W
CHESTERFIELD, MO 63017
Obstetrics & Gynecology
226 S WOODS MILL RD, SUITE 68 WEST
CHESTERFIELD, MO 63017
Obstetrics & Gynecology
226 S WOODS MILL RD, S5W
CHESTERFIELD, MO 63017
Obstetrics & Gynecology
226 S WOODS MILL RD, #55W
CHESTERFIELD, MO 63017
Obstetrics & Gynecology (Gynecology)
226 S WOODS MILL RD, SUITE 55 WEST
CHESTERFIELD, MO 63017
Pediatrics
226 S WOODS MILL RD, 36W
CHESTERFIELD, MO 63017
Obstetrics & Gynecology
226 S WOODS MILL RD, SUITE 60W
CHESTERFIELD, MO 63017
Obstetrics & Gynecology
226 S WOODS MILL RD, SUITE 68 WEST
CHESTERFIELD, MO 63017
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
226 S WOODS MILL RD, SUITE 37W
CHESTERFIELD, MO 63017
Specialist
226 S WOODS MILL RD, SUITE 62 WEST
CHESTERFIELD, MO 63017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558307272, enumerated as an "individual" on June 21, 2006.

The provider is located at 226 S WOODS MILL RD SUITE 54 W CHESTERFIELD, MO 63017 and the phone number is (314) 878-0808.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: UnitedHealthcare, Medicare, Medicaid, Railroad. Please consult your insurance carrier or call the provider to verify.

Jose Marchosky is affiliated with: ST LUKES HOSPITAL.