ROBERT F. MARCUM M.D.
NPI 1659311231
Internal Medicine - Pulmonary Disease in Cleveland, TN

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
110 DUNHILL PL NW, CLEVELAND, TN 37311(423) 476-2212(423) 476-7022 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Robert F. Marcum M.d. NPPES

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

ROBERT F. MARCUM M.D. (NPI 1659311231) is an individual pulmonary disease provider in Cleveland, Tennessee, licensed in Tennessee (021083) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1659311231
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameROBERT F. MARCUMCredential: M.D.
Location Address110 DUNHILL PL NWCleveland, TN 37311-3883
Mailing Address110 Dunhill Pl NwCleveland, TN 37311-3866 · (423) 476-2212 · Fax (423) 476-7022
Fax(423) 476-7022
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1982
Enumeration DateJune 8, 2006
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1659311231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in TN · 021083
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
110 DUNHILL PL NW, Cleveland, TN 37311

Secondary Practice Locations 3

Location 17413 Whitesville Rd Ste 700Columbus, GA 31904-3230 · Phone (706) 600-2427
Location 27661 Kayne Blvd Ste BColumbus, GA 31909-2547 · Phone (706) 600-2427
Location 3725 Glenwood Dr Ste E500Chattanooga, TN 37404-1138 · Phone (423) 495-4234 · Fax (423) 495-2638

Other Identifiers 3

Other621482378TN · Blue Rdg Pul Med Tx Id
Medicaid3060476TN
Other3702756TN · Medicare Group Number

Accepted 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

Robert F. Marcum 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 ID446442172
PECOS Enrollment IDI20101013000054
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 11

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.
373 services202 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
193 services150 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
184 services137 patients
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.
118 services29 patients
Test to measure oxygen level in blood using ear or finger device continuously overnight 94762
This procedure involves using a small device, placed on your ear or finger, to continuously monitor your blood oxygen level overnight. It's painless, non-invasive, and helps assess your body's oxygen supply during sleep.
79 services64 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
67 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110236
Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County
Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37311 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%526 patients4/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
9 suppliers82 claims82 services$37.72 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers131 claims131 services$91.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers145 claims357 services$35.26 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
8 suppliers88 claims404 services$19.11 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers43 claims233 services$15.33 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers119 claims119 services$55.73 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 9

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

Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Nurse Practitioner (Family)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Nurse Practitioner
110 DUNHILL PL NW, SUITE B
CLEVELAND, TN 37311
Internal Medicine (Gastroenterology)
110 DUNHILL PL NW, SUITE B
CLEVELAND, TN 37311
Internal Medicine (Pulmonary Disease)
110 DUNHILL PL NW
CLEVELAND, TN 37311
Specialist/Technologist, Other
110 DUNHILL PL NW
CLEVELAND, TN 37311

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 Robert Marcum's NPI number?

The NPI number for Robert Marcum is 1659311231. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Robert Marcum located?

Robert Marcum practices at 110 Dunhill Pl NW, Cleveland, TN 37311. The listed phone number is (423) 476-2212.

What is Robert Marcum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Robert Marcum enrolled in Medicare?

Yes. Robert Marcum 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 Robert Marcum accept?

Health plans from Alliant Health Plans, Inc. and UnitedHealthcare list Robert Marcum 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 Robert Marcum affiliated with any hospitals?

According to CMS data, Robert Marcum is affiliated with Chi Memorial Hospital- Georgia and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Robert Marcum was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.