MARC PHILIP BREIDENBAUGH MD
NPI 1700346764
Allergy & Immunology in Charlottesville, VA

Q: What is Marc Breidenbaugh's NPI number?

The NPI number for Marc Breidenbaugh is 1700346764. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Q: What is Marc Breidenbaugh's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Breidenbaugh was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 24, 2019PECOS EnrolledAccepts Medicare Assignment

1415 ROLKIN CT STE 102, CHARLOTTESVILLE, VA 22911(434) 951-2191(434) 977-0200 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 1, 2026, Jul 18, 2024, Mar 24, 2019 (3 updates tracked since 2019).

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About Marc Philip Breidenbaugh Md NPPES

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

MARC PHILIP BREIDENBAUGH MD (NPI 1700346764) is an individual allergy & immunology provider in Charlottesville, Virginia, licensed in Virginia (0101274577) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (2019).

NPPES Registry Identity

NPI1700346764

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameMARC PHILIP BREIDENBAUGHCredential: MD

Location Address1415 ROLKIN CT STE 102Charlottesville, VA 22911-3643

Mailing AddressPo Box 603725Charlotte, NC 28260-3725 · (828) 575-2625 · Fax (828) 350-2174

Phone(434) 951-2191

Fax(434) 977-0200

Sole ProprietorNo

Medical School CMSUniversity Of Virginia School Of MedicineGraduated 2019

Enumeration DateMarch 24, 2019

Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1700346764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in VA · 0101274577

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

1415 ROLKIN CT STE 102, Charlottesville, VA 22911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Plan of North Carolina, Inc.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

Marc Philip Breidenbaugh Md 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 ID1456688415

PECOS Enrollment IDI20240828005206

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

Medicare enrollment records show Marc Breidenbaugh reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allergy Partners, PLLC

Same address

Allergy & Immunology

1415 ROLKIN CT STE 102
Charlottesville, VA 22911

Reassigned Medicare billing, Virginia enrollment
23 clinicians in this Medicare group

NPI 1265767750 (434) 951-2191

Richmond Allergy And Asthma Specialists,pc

55 mi

Allergy

9920 INDEPENDENCE PARK DR STE 100
Henrico, VA 23233

Reassigned Medicare billing, Virginia enrollment
4 clinicians in this Medicare group

NPI 1548367733 (804) 285-7420

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

Other Providers at the Same Location NPPES

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

ALLERGY PARTNERS, PLLC

Allergy & Immunology

1415 ROLKIN CT STE 102
CHARLOTTESVILLE, VA 22911

Albemarle County (434) 951-2191

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 Breidenbaugh's NPI number?

The NPI number for Marc Breidenbaugh is 1700346764. It was assigned to this individual provider in the NPPES registry on March 24, 2019.

Where is Marc Breidenbaugh located?

Marc Breidenbaugh practices at 1415 Rolkin Ct Ste 102, Charlottesville, VA 22911. The listed phone number is (434) 951-2191.

What is Marc Breidenbaugh's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Marc Breidenbaugh enrolled in Medicare?

Yes. Marc Breidenbaugh 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 Marc Breidenbaugh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Breidenbaugh reassigns Medicare benefits to 2 organizations: Allergy Partners, PLLC (Charlottesville, VA) and Richmond Allergy And Asthma Specialists,pc (Henrico, VA). 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 Marc Breidenbaugh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Breidenbaugh accept?

Health plans from Oscar Health and Oscar Health Plan of North Carolina, Inc list Marc Breidenbaugh 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 Marc Breidenbaugh was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.