MARCOTTE MEDICAL GROUP, SC
NPI 1669424768
Family Medicine in Dyer, IN
About Marcotte Medical Group, Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARCOTTE MEDICAL GROUP, SC (NPI 1669424768) is a healthcare organization registered as a family medicine in Dyer, Indiana and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Dyer, and lists Trevor M Marcotte, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Secondary Practice Location 1
Other Identifiers 4
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marcotte Medical Group, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Marcotte Medical Group, Sc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (11)
Chicago Heights, IL 60411
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D1053373
Marcotte Medical Group Sc · Dyer, INCertificate of Compliance 15D2050329
Marcotte Medical Group PC · Dyer, INFrequently 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 Marcotte Medical Group, PC's NPI number?
The NPI number for Marcotte Medical Group, PC is 1669424768. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is doing business as Marcotte Medical Group, Sc. The provider was formerly known as Marcotte Medical Group INC.
Where is Marcotte Medical Group, PC located?
Marcotte Medical Group, PC is located at 15900 W 101st Ave, Dyer, IN 46311. The listed phone number is (219) 365-6333.
What is Marcotte Medical Group, PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Marcotte Medical Group, PC enrolled in Medicare?
Yes. Marcotte Medical Group, PC is registered in the Medicare PECOS enrollment system.
When is Marcotte Medical Group, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Indiana, Physician - Osteopathic Manipulative Medicine) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Marcotte Medical Group, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Marcotte Medical Group, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6), Family Practice (3) and Diagnostic Radiology (1). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Marcotte Medical Group, PC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Marcotte Medical Group, PC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Marcotte Medical Group, PC 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.
When was this NPI record last updated?
The NPPES record for Marcotte Medical Group, PC was last updated on November 21, 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.
# Marcotte Medical Group, Sc · NPI 1669424768
Family Medicine organization in Dyer, Indiana. Organization record, active in the CMS NPPES registry since May 17, 2006.
## Identity
- **NPI:** 1669424768 (Entity type: Organization)
- **Enumerated:** May 17, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Marcotte Medical Group, Pc
- **Also known as:** Marcotte Medical Group INC (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Trevor Marcotte, OWNER
## Practice location
- **Address:** 15900 W 101ST AVE, Dyer, IN 46311
- **Phone:** (219) 365-6333 · **Fax:** (219) 365-8291
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (DME, Indiana, Physician - Osteopathic Manipulative Medicine) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Family Practice (3), Diagnostic Radiology (1); 1 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 21, 2023
- **Other identifiers:** Other 000000363441 (IN); Other 9932077 (IL); Medicaid 200424880A (IN); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669424768) · Data from the CMS NPPES public registry.