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DR. MARC STUART KOLPON D.O.
NPI 1720305246
Emergency Medicine in Macungie, PA

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
3369 STATE ROUTE 100, MACUNGIE, PA 18062(610) 402-8111 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Apr 11, 2024, Dec 8, 2020 (3 updates tracked since 2020).

About Dr. Marc Stuart Kolpon D.o. NPPES

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

DR. MARC STUART KOLPON D.O. (NPI 1720305246) is an individual emergency medicine provider in Macungie, Pennsylvania, licensed in Pennsylvania (OS015948) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital - Pocono, and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1720305246
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MARC STUART KOLPONCredential: D.O.
Location Address3369 STATE ROUTE 100Macungie, PA 18062-9613
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-4500
Phone(610) 402-8111
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2008
Enumeration DateApril 23, 2010
Last NPPES UpdateJune 4, 20243 updates tracked since enumeration
NPPES CertifiedMay 28, 2024
✔ NPI 1720305246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · OS015948✔ Licensed in IL · 125054162
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3369 STATE ROUTE 100, Macungie, PA 18062
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Secondary Practice Location 1

Location 1801 Ostrum StBethlehem, PA 18015-1000 · Phone (484) 526-4500

Other Identifiers 2

Medicaid0484717NJ
Medicaid04066024NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Oklahoma.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. Marc Stuart Kolpon D.o. 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 ID2466618426
PECOS Enrollment IDI20120720000045
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
194 services190 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
113 services113 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
46 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18062 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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 11

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

BASIL M HARRIS MD
Emergency Medicine
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111
MARCIN CIESLA
Student in an Organized Health Care Education/Training Program
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111
DR. RYAN B TAYLOR D.O.
Emergency Medicine
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111
MR. NICHOLAS ROY NELSON PA-C
Physician Assistant
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111
DUC DANG
Emergency Medicine
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111
DR. JAMES A CAFFREY D.O.
Emergency Medicine
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111
DR. DANIEL J SIMPSON DO
Emergency Medicine
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111
MARK A. NOTASH MD
Emergency Medicine
3369 STATE ROUTE 100
MACUNGIE, PA 18062
Lehigh County (610) 402-8111

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 Kolpon's NPI number?

The NPI number for Marc Kolpon is 1720305246. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Marc Kolpon located?

Marc Kolpon practices at 3369 State Route 100, Macungie, PA 18062. The listed phone number is (610) 402-8111.

What is Marc Kolpon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Kolpon enrolled in Medicare?

Yes. Marc Kolpon 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 Marc Kolpon accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Oklahoma list Marc Kolpon 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 Marc Kolpon affiliated with any hospitals?

According to CMS data, Marc Kolpon is affiliated with Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Marc Kolpon was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.