DR. MARLON GETULIO RAMILO M.D.
NPI 1659316412
Internal Medicine - Cardiovascular Disease in Modesto, CA

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1540 FLORIDA AVE STE 100, MODESTO, CA 95350(209) 577-5557(209) 579-7246 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marlon Getulio Ramilo M.d. NPPES

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

DR. MARLON GETULIO RAMILO M.D. (NPI 1659316412) is an individual cardiovascular disease provider in Modesto, California, licensed in California (A78835) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (1999).

NPPES Registry Identity

NPI1659316412
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MARLON GETULIO RAMILOCredential: M.D.
Location Address1540 FLORIDA AVE STE 100Modesto, CA 95350-4430
Mailing Address1540 Florida Ave Ste 100Modesto, CA 95350-4430 · (209) 577-5557 · Fax (207) 579-7246
Fax(209) 579-7246
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 1999
Enumeration DateJune 17, 2006
Last NPPES UpdateJanuary 18, 2021
NPPES CertifiedJanuary 18, 2021
NPI 1659316412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · A78835
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License A78835 (CA)
1540 FLORIDA AVE STE 100, Modesto, CA 95350

Other Identifiers 1

Medicaid00A788350CA

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. Marlon Getulio Ramilo 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 ID3870519713
PECOS Enrollment IDI20051019001007
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.

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.
907 services518 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.
796 services176 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
789 services761 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
473 services464 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
384 services379 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
356 services351 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.29
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier16 claims30 services$1.64 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers51 claims51 services$16.02 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
2 suppliers37 claims37 services$42.14 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier91 claims91 services$774.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier35 claims35 services$5.34 avg. paid by Medicare
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
3 suppliers89 claims89 services$83.53 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 7

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

Internal Medicine (Cardiovascular Disease)
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Internal Medicine (Clinical Cardiac Electrophysiology)
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Internal Medicine (Cardiovascular Disease)
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Internal Medicine (Cardiovascular Disease)
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Internal Medicine (Cardiovascular Disease)
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Registered Nurse
1540 FLORIDA AVE STE 100
MODESTO, CA 95350
Internal Medicine (Interventional Cardiology)
1540 FLORIDA AVE STE 100
MODESTO, CA 95350

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 Marlon Ramilo's NPI number?

The NPI number for Marlon Ramilo is 1659316412. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Marlon Ramilo located?

Marlon Ramilo practices at 1540 Florida Ave Ste 100, Modesto, CA 95350. The listed phone number is (209) 577-5557.

What is Marlon Ramilo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Marlon Ramilo enrolled in Medicare?

Yes. Marlon Ramilo 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 Marlon Ramilo was last updated on January 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.