MARC PIMSLEUR MD
NPI 1598961864
Family Medicine in Philadelphia, PA

Active since June 25, 2007PECOS EnrolledAccepts Medicare Assignment
4417 N 6TH ST, PHILADELPHIA, PA 19140(215) 302-3600 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Marc Pimsleur Md NPPES

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

MARC PIMSLEUR MD (NPI 1598961864) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Texas (BP10033947) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Texas Tech University Health Science Center School Of Medicine (2007).

NPPES Registry Identity

NPI1598961864
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARC PIMSLEURCredential: MD
Location Address4417 N 6TH STPhiladelphia, PA 19140-2319
Mailing Address414 W Winona StPhiladelphia, PA 19144-4508
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2007
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 31, 2012
✔ NPI 1598961864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · BP10033947✔ Licensed in PA · MD446466
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4417 N 6TH ST, Philadelphia, PA 19140

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marc Pimsleur 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 ID6800043191
PECOS Enrollment IDI20120821000653
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Marc Pimsleur reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
100 N 18TH STREET, SUITE 300
Philadelphia, PA 19103
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
Internal Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 73 clinicians in this Medicare group
Internal Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 113 clinicians in this Medicare group
Geriatric Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Suburban Geriatric's, Inc.
  • 114 clinicians in this Medicare group
Geriatric Medicine
2901 JOLLY RD
Plymouth Meeting, PA 19462
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 113 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Family Medicine
4417 N 6TH ST
PHILADELPHIA, PA 19140
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Counselor (Mental Health)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Nurse Practitioner (Family)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Nurse Practitioner (Pediatrics)
4417 N 6TH ST
PHILADELPHIA, PA 19140
Clinic/Center (Federally Qualified Health Center (FQHC))
4417 N 6TH ST, ESPERANZA HEALTH CEN
PHILADELPHIA, PA 19140
Psychologist
4417 N 6TH ST
PHILADELPHIA, PA 19140

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 Pimsleur's NPI number?

The NPI number for Marc Pimsleur is 1598961864. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Marc Pimsleur located?

Marc Pimsleur practices at 4417 N 6th St, Philadelphia, PA 19140. The listed phone number is (215) 302-3600.

What is Marc Pimsleur's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marc Pimsleur enrolled in Medicare?

Yes. Marc Pimsleur 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.

Which organizations bill Medicare for Marc Pimsleur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Pimsleur reassigns Medicare benefits to 5 organizations: Evernorth Care Providers - Delaware PA (Philadelphia, PA), Suburban Geriatrics At Home PC (Plymouth Meeting, PA), Suburban Geriatrics II PC (Plymouth Meeting, PA), Suburban Geriatrics, Inc. (Plymouth Meeting, PA) and Violet Valley Long Term Care PC (Plymouth Meeting, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marc Pimsleur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Pimsleur accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Marc Pimsleur 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.

When was this NPI record last updated?

The NPPES record for Marc Pimsleur was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.