1. Home
  2. Directory
  3. Pennsylvania
  4. Wilkes Barre
  5. Hospitalist
  6. NPI Profile

MARCIANO Y FIGUEROA DO
NPI 1679214928
Hospitalist in Wilkes Barre, PA

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711(570) 808-7399(570) 808-5942 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Marciano Y Figueroa Do NPPES

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

MARCIANO Y FIGUEROA DO (NPI 1679214928) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS025430) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679214928
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMARCIANO Y FIGUEROACredential: DO
Location Address1000 E MOUNTAIN DRWilkes Barre, PA 18711-0027
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-7399 · Fax (570) 808-5942
Phone(570) 808-7399
Fax(570) 808-5942
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 1, 2022
Last NPPES UpdateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1679214928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · OS025430
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1000 E MOUNTAIN DR, Wilkes Barre, PA 18711
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marciano Y Figueroa 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 ID4082107644
PECOS Enrollment IDI20251202002812, I20251209003841
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Marciano Figueroa reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geisinger Clinic
0.1 mi
Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1316999782 (570) 826-7300
Rwjbh Emergency Medicine Associates, LLC
83 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Rutgers Health-Rwj Primary Medicine Group
84 mi
Pediatrics
1 WORLDS FAIR DR
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 125 clinicians in this Medicare group
NPI 1497867410 (732) 743-5437
Rwjbh Observation Associates LLC
86 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 20

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

DR. PAUL ANTHONY ARKLESS M.D.
Internal Medicine (Pulmonary Disease)
1000 E MOUNTAIN DR, PULMONARY DEPARTMENT
WILKES BARRE, PA 18711
Luzerne County (570) 808-5770
DR. JEEWENDRA DULAL M.D.
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
DR. DANIEL GOLTZ D.O
Emergency Medicine
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7762
JULIA CHRISTINA D'SOUZA MD MTR
Radiology (Vascular & Interventional Radiology)
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7779
VRUNDA MANGAROLIYA MD
Hospitalist
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7399
BARRY LEE GREEN DO
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
HALEEMA SAJID M.D.
Obstetrics & Gynecology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7916
MEENAKSHI DAVULURI M.D.
Urology
1000 E MOUNTAIN DR
WILKES BARRE, PA 18711
Luzerne County (570) 808-7850

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 Marciano Figueroa's NPI number?

The NPI number for Marciano Figueroa is 1679214928. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Marciano Figueroa located?

Marciano Figueroa practices at 1000 E Mountain Dr, Wilkes Barre, PA 18711. The listed phone number is (570) 808-7399.

What is Marciano Figueroa's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Marciano Figueroa enrolled in Medicare?

Yes. Marciano Figueroa 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.

Which organizations bill Medicare for Marciano Figueroa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marciano Figueroa reassigns Medicare benefits to 4 organizations: Geisinger Clinic (Wilkes Barre, PA), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ), Rutgers Health-Rwj Primary Medicine Group (Somerset, NJ) and Rwjbh Observation Associates LLC (Livingston, NJ). Each 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 Marciano Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marciano Figueroa accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Marciano Figueroa 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 Marciano Figueroa affiliated with any hospitals?

According to CMS data, Marciano Figueroa is affiliated with Robert Wood Johnson University Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Marciano Figueroa was last updated on December 9, 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.