DR. PATRICIA L MARCUSON M.D.
NPI 1609841485
Internal Medicine in Williamsburg, VA

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
400 SENTARA CIR, SUITE 400, WILLIAMSBURG, VA 23188(757) 645-3150(757) 645-3149 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patricia L Marcuson M.d. NPPES

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

DR. PATRICIA L MARCUSON M.D. (NPI 1609841485) is an individual internal medicine provider in Williamsburg, Virginia, licensed in Virginia (0101048943) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Regional Medical Center, and is a graduate of New York Medical College (1991).

NPPES Registry Identity

NPI1609841485
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PATRICIA L MARCUSONCredential: M.D.
Location Address400 SENTARA CIR, SUITE 400Williamsburg, VA 23188-5716
Mailing Address860 Omni Blvd, Suite 303Newport News, VA 23606-4430 · (757) 232-8769 · Fax (757) 232-8875
Fax(757) 645-3149
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1991
Enumeration DateFebruary 23, 2006
Last NPPES UpdateOctober 5, 2012
NPI 1609841485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101048943
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 SENTARA CIR, Williamsburg, VA 23188

Other Identifiers 9

Other8154300/3154300VA · United Healthcare
Other2820774001VA · Cigna Healthcare
Other541634477076VA · Tricare
Medicare UPINF85389VA
Medicaid010278341VA
Medicare ID-Type Unspecified110008350VA
Other28683VA · Sentara/optima
Other196181VA · Anthem
OtherP00323504Rr/medicare

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. Patricia L Marcuson 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 ID5991609075
PECOS Enrollment IDI20060721000066
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 29

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.

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.
703 services284 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
621 services327 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
554 services318 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
448 services296 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
427 services294 patients
Vitamin d-3 level 82306
A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
362 services286 patients

Hospital Affiliations CMS Care Compare 4

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

Riverside Regional Medical Center

Acute Care Hospitals · Newport News, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490052
Location500 J Clyde Morris BlvdNewport News, VA 23601 · Newport News City County
Emergency services Birthing friendly

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490093
Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County
Emergency services Birthing friendly

Riverside Doctors' Hospital Of Williamsburg

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490143
Location1500 Commonwealth AvenueWilliamsburg, VA 23185 · James City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23188 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers37 claims117 services$6.14 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers14 claims20 services$1.07 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier13 claims1,612 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Family Medicine
400 SENTARA CIR, STE 450
WILLIAMSBURG, VA 23188
Internal Medicine (Pulmonary Disease)
400 SENTARA CIR, STE 320A
WILLIAMSBURG, VA 23188
Physician Assistant (Medical)
400 SENTARA CIR
WILLIAMSBURG, VA 23188
Surgery (Vascular Surgery)
400 SENTARA CIR, STE 450
WILLIAMSBURG, VA 23188
Nurse Practitioner
400 SENTARA CIR
WILLIAMSBURG, VA 23188
Urology
400 SENTARA CIR, SUITE 320
WILLIAMSBURG, VA 23188
Internal Medicine (Nephrology)
400 SENTARA CIR, STE 305
WILLIAMSBURG, VA 23188
Emergency Medicine
400 SENTARA CIR
WILLIAMSBURG, VA 23188

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 Patricia Marcuson's NPI number?

The NPI number for Patricia Marcuson is 1609841485. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Patricia Marcuson located?

Patricia Marcuson practices at 400 Sentara Cir Suite 400, Williamsburg, VA 23188. The listed phone number is (757) 645-3150.

What is Patricia Marcuson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patricia Marcuson enrolled in Medicare?

Yes. Patricia Marcuson 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.

Is Patricia Marcuson affiliated with any hospitals?

According to CMS data, Patricia Marcuson is affiliated with Riverside Regional Medical Center, Sentara Williamsburg Regional Medical Center, Sentara Careplex Hospital and Riverside Doctors' Hospital Of Williamsburg.

When was this NPI record last updated?

The NPPES record for Patricia Marcuson was last updated on October 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.