DR. JOSHUA D MARCUS M.D.
NPI 1609010719
Neurological Surgery in Danbury, CT

Active since April 21, 2009PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
33 HOSPITAL AVE., DANBURY, CT 06810(203) 792-2003(203) 739-8926 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2023, Mar 16, 2017 (2 updates tracked since 2017).

About Dr. Joshua D Marcus M.d. NPPES

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

DR. JOSHUA D MARCUS M.D. (NPI 1609010719) is an individual neurological surgery provider in Danbury, Connecticut, licensed in Connecticut (002188) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (2009).

NPPES Registry Identity

NPI1609010719
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JOSHUA D MARCUSCredential: M.D.
Location Address33 HOSPITAL AVE.Danbury, CT 06810
Mailing Address33 Hospital Ave.Danbury, CT 06810 · (203) 792-2003 · Fax (203) 739-8926
Fax(203) 739-8926
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2009
Enumeration DateApril 21, 2009
Last NPPES UpdateOctober 4, 20232 updates tracked since enumeration
NPI 1609010719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in CT · 002188
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
33 HOSPITAL AVE., Danbury, CT 06810

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. Joshua D Marcus 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.

PECOS PAC ID9133417579
PECOS Enrollment IDI20161018000831, I20200407001968
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 25

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
96 services96 patients
Fusion of additional segment of spine 22614
Fusion of an additional segment of the spine is a surgical procedure to join two or more vertebrae together. This is done to stabilize the spine and reduce pain or correct a deformity. The procedure involves using bone grafts, rods, or screws to secure the spine.
92 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
89 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
45 services42 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
42 services37 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
38 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Neurological Surgery
33 HOSPITAL AVE.
DANBURY, CT 06810
Neurological Surgery
33 HOSPITAL AVE.
DANBURY, CT 06810
Neurological Surgery
33 HOSPITAL AVE.
DANBURY, CT 06810
Neurological Surgery
33 HOSPITAL AVE.
DANBURY, CT 06810
Neurological Surgery
33 HOSPITAL AVE.
DANBURY, CT 06810
Physician Assistant (Surgical)
33 HOSPITAL AVE.
DANBURY, CT 06810
Physician Assistant (Surgical)
33 HOSPITAL AVE.
DANBURY, CT 06810

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 Joshua Marcus's NPI number?

The NPI number for Joshua Marcus is 1609010719. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Joshua Marcus located?

Joshua Marcus practices at 33 Hospital Ave., Danbury, CT 06810. The listed phone number is (203) 792-2003.

What is Joshua Marcus's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Joshua Marcus enrolled in Medicare?

Yes. Joshua Marcus 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.

When was this NPI record last updated?

The NPPES record for Joshua Marcus was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.