MARC A ROVITO M.D.
NPI 1689768319
Internal Medicine - Hematology & Oncology in Reading, PA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
2494 BERNVILLE RD, SUITE G-04, READING, PA 19605(610) 378-2117(610) 378-2674 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marc A Rovito M.d. NPPES

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

MARC A ROVITO M.D. (NPI 1689768319) is an individual hematology & oncology provider in Reading, Pennsylvania, licensed in Pennsylvania (MD042375L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and is a graduate of Medical College Of Pennsylvania (1993).

NPPES Registry Identity

NPI1689768319
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMARC A ROVITOCredential: M.D.
Location Address2494 BERNVILLE RD, SUITE G-04Reading, PA 19605-9469
Mailing AddressPo Box 858, A410Hershey, PA 17033-0858 · (800) 243-1455
Fax(610) 378-2674
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1993
Enumeration DateOctober 3, 2006
Last NPPES UpdateSeptember 23, 2011
NPI 1689768319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in PA · MD042375L
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
2494 BERNVILLE RD, Reading, PA 19605

Other Identifiers 4

Medicare ID-Type Unspecified726004P4U
Other0473555Aetna Hmo
OtherRO726004PA · Blue Shield
Medicare UPINF29632

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

Marc A Rovito 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 ID4284827221
PECOS Enrollment IDI20101021001376, I20240910002630
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 4

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.
375 services178 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services71 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390127
Location140 Nutt RoadPhoenixville, PA 19460 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19605 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims616 services$0.73 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 14

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

Internal Medicine (Medical Oncology)
2494 BERNVILLE RD, SUITE G03
READING, PA 19605
Clinic/Center (Adolescent and Children Mental Health)
2494 BERNVILLE RD, SUITE 106
READING, PA 19605
Radiology (Radiation Oncology)
2494 BERNVILLE RD, STE G04
READING, PA 19605
Physician Assistant
2494 BERNVILLE RD
READING, PA 19605
Nurse Practitioner (Family)
2494 BERNVILLE RD
READING, PA 19605
Physician Assistant (Medical)
2494 BERNVILLE RD, SUITE 203
READING, PA 19605
Nurse Practitioner (Adult Health)
2494 BERNVILLE RD
READING, PA 19605
Physician Assistant (Surgical)
2494 BERNVILLE RD, SUITE 207
READING, PA 19605

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 Marc Rovito's NPI number?

The NPI number for Marc Rovito is 1689768319. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Marc Rovito located?

Marc Rovito practices at 2494 Bernville Rd Suite G-04, Reading, PA 19605. The listed phone number is (610) 378-2117.

What is Marc Rovito's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Marc Rovito enrolled in Medicare?

Yes. Marc Rovito 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.

Is Marc Rovito affiliated with any hospitals?

According to CMS data, Marc Rovito is affiliated with Gerald Champion Regional Medical Center, Reading Hospital, Penn State Health St. Joseph and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Marc Rovito was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.