DR. MEDARDO RICHARD MAROTO M.D.
NPI 1700045317
Orthopaedic Surgery in Grand Rapids, MI

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503(616) 486-9600 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Feb 26, 2021, Feb 2, 2017 (3 updates tracked since 2017).

About Dr. Medardo Richard Maroto M.d. NPPES

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

DR. MEDARDO RICHARD MAROTO M.D. (NPI 1700045317) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (4301082076) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1700045317
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MEDARDO RICHARD MAROTOCredential: M.D.
Location Address221 MICHIGAN ST NE STE 400Grand Rapids, MI 49503-2543
Mailing Address1335 Honey Creek Ave NeAda, MI 49301-9577 · (313) 737-3684
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJune 9, 2008
Last NPPES UpdateOctober 31, 20243 updates tracked since enumeration
NPPES CertifiedOctober 31, 2024
NPI 1700045317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in MI · 4301082076 Licensed in IL · 125-051953
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License N3165 (TX), 01095101A (IN), MD60004075 (WA)
221 MICHIGAN ST NE STE 400, Grand Rapids, MI 49503

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

Dr. Medardo Richard Maroto 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 ID4284701269
PECOS Enrollment IDI20250326001957, I20250407002420
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 3

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 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.
21 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services18 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

St Joseph Memorial Hospital

Critical Access Hospitals · Murphysboro, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141334
Location2 South Hospital DriveMurphysboro, IL 62966 · Jackson County
Emergency services

St Joseph Hospital

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200001
Location360 BroadwayBangor, ME 04401 · Penobscot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Physical Medicine & Rehabilitation
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503

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 Medardo Maroto's NPI number?

The NPI number for Medardo Maroto is 1700045317. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Medardo Maroto located?

Medardo Maroto practices at 221 Michigan St NE Ste 400, Grand Rapids, MI 49503. The listed phone number is (616) 486-9600.

What is Medardo Maroto's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Medardo Maroto enrolled in Medicare?

Yes. Medardo Maroto 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 Medardo Maroto accept?

Health plans from CareSource and Premera Blue Cross Blue Shield of Alaska list Medardo Maroto 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 Medardo Maroto affiliated with any hospitals?

According to CMS data, Medardo Maroto is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, St Joseph Memorial Hospital and St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Medardo Maroto was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.