MARC PIMSLEUR MD
NPI 1598961864
Family Medicine in Philadelphia, PA
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
Specialties & Licenses
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.
Medicare Billing Reassignments
5Medicare 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.
Philadelphia, PA 19103
- Reassigned Medicare billing, Pennsylvania enrollment
- 3 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 73 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 113 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Suburban Geriatric's, Inc.
- 114 clinicians in this Medicare group
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.
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.
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.