THOMAS MARSALA JR. PA-C
NPI 1689719932
Physician Assistant in West Monroe, LA

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
80.43/100
CMS Quality Rating
1804 N 7TH ST, WEST MONROE, LA 71291(318) 325-2610(318) 325-7715 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Thomas Marsala Jr. Pa-c NPPES

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

THOMAS MARSALA JR. PA-C (NPI 1689719932) is an individual physician assistant in West Monroe, Louisiana, licensed in Louisiana (A10448) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1689719932
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS MARSALA JR.Credential: PA-C
Location Address1804 N 7TH STWest Monroe, LA 71291-4414
Mailing Address1804 N 7th StWest Monroe, LA 71291-4414 · (318) 325-2610 · Fax (318) 325-7715
Fax(318) 325-7715
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 30, 2019
NPI 1689719932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in LA · A10448
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1804 N 7TH ST, West Monroe, LA 71291

Other Identifiers 1

Medicaid1590720LA

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

Thomas Marsala Jr. Pa-c 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 ID5698717064
PECOS Enrollment IDI20050525000933
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 12

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.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
1,227 services591 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
849 services822 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
446 services206 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
345 services282 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
309 services146 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
306 services153 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71291 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

80.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.07
Promoting Interoperability100
Improvement Activities40
Cost44.7

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers22 claims22 services$56.12 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims19 services$49.28 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 13

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

Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Nurse Anesthetist, Certified Registered
1804 N 7TH ST
WEST MONROE, LA 71291
Eyewear Supplier
1804 N 7TH ST
WEST MONROE, LA 71291
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Physician Assistant
1804 N 7TH ST
WEST MONROE, LA 71291
Ophthalmology
1804 N 7TH ST
WEST MONROE, LA 71291
Nurse Practitioner (Family)
1804 N 7TH ST
WEST MONROE, LA 71291

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 Thomas Marsala's NPI number?

The NPI number for Thomas Marsala is 1689719932. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Thomas Marsala located?

Thomas Marsala practices at 1804 N 7th St, West Monroe, LA 71291. The listed phone number is (318) 325-2610.

What is Thomas Marsala's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thomas Marsala enrolled in Medicare?

Yes. Thomas Marsala 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 Thomas Marsala accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Thomas Marsala 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 Thomas Marsala was last updated on July 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.