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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JULIE PETERSEN MARCINEK DO
NPI 1649513367
Family Medicine in Summersville, WV

Active since April 01, 2013PECOS Enrolled
81.3/100
CMS Quality Rating
702 PROFESSIONAL PARK DR STE 104, SUMMERSVILLE, WV 26651(304) 872-0089 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Apr 10, 2026, Mar 30, 2026 and 7 more (10 updates tracked since 2016).

About Julie Petersen Marcinek Do NPPES

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

JULIE PETERSEN MARCINEK DO (NPI 1649513367) is an individual family medicine provider in Summersville, West Virginia, licensed in West Virginia (3508) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1649513367
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJULIE PETERSEN MARCINEKCredential: DO
Location Address702 PROFESSIONAL PARK DR STE 104Summersville, WV 26651-2033
Mailing Address702 Professional Park, Suite 104Summersville, WV 26651 · (304) 872-0089
Phone(304) 872-0089
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateJuly 21, 202610 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1649513367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WV · 3508✔ Licensed in OH · 34012862✔ Licensed in MD · H0081197✔ Licensed in DC · DO034562
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.
702 PROFESSIONAL PARK DR STE 104, Summersville, WV 26651
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Secondary Practice Locations 7

Location 170 Technology LnCowen, WV 26206-3702 · Phone (304) 226-3150
Location 2125 Diana DrWebster Springs, WV 26288-9078 · Phone (304) 847-5682
Location 3150 Courthouse Rd Ste 301BPrinceton, WV 24740-2450 · Phone (304) 425-0162
Location 4119 Main St W Ste AOak Hill, WV 25901-2972 · Phone (304) 465-0544
Location 5111 S Grant AveColumbus, OH 43215-4701 · Phone (614) 566-8883 · Fax (614) 566-8149
Location 6207 W Maple AveFayetteville, WV 25840-1413 · Phone (304) 574-2600
Location 7230 George St Ste 2Beckley, WV 25801-2620 · Phone (304) 255-2878

Other Identifiers 1

OtherH596080OH · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

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

Julie Petersen Marcinek Do 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 ID2365730082
PECOS Enrollment IDI20250515000556
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
85 services34 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services27 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Camc Plateau Medical Center, Inc

Critical Access Hospitals · Oak Hill, WV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number511317
Location430 Main Street, WestOak Hill, WV 25901 · Fayette County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26651 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers47 claims50 services$65.04 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$28.16 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

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

AMY MANN
Nurse Practitioner (Family)
702 PROFESSIONAL PARK DR STE 104
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-0089

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 Julie Marcinek's NPI number?

The NPI number for Julie Marcinek is 1649513367. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Julie Marcinek located?

Julie Marcinek practices at 702 Professional Park Dr Ste 104, Summersville, WV 26651. The listed phone number is (304) 872-0089.

What is Julie Marcinek's specialty?

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

Is Julie Marcinek enrolled in Medicare?

Yes. Julie Marcinek 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.

What insurance does Julie Marcinek accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Julie Marcinek 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.

Is Julie Marcinek affiliated with any hospitals?

According to CMS data, Julie Marcinek is affiliated with Charleston Area Medical Center and Camc Plateau Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Julie Marcinek was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.