DR. MARC STUART KOLPON D.O.
NPI 1720305246
Emergency Medicine in Macungie, PA
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Marc Kolpon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Macungie, PA 18062
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,895 clinicians in this Medicare group
Philadelphia, PA 19128
- Reassigned Medicare billing, Pennsylvania enrollment
- 49 clinicians in this Medicare group
Hanover, PA 17331
- Reassigned Medicare billing, Pennsylvania enrollment
- 298 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, PAPhysician 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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACUNGIE, PA 18062
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.
Which organizations bill Medicare for Marc Kolpon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Kolpon reassigns Medicare benefits to 3 organizations: Lehigh Valley Physician Group (Macungie, PA), Medical Services Of Suffolk County PC (Philadelphia, PA) and Emergency Physician Associates Of Pennsylvania, PC (Hanover, PA). 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 Kolpon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marc Kolpon accept?
Health plans from Anthem Blue Cross and Blue Shield 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.
# Dr. Marc Stuart Kolpon, D.O. · NPI 1720305246
Emergency Medicine physician in Macungie, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 23, 2010.
## Identity
- **NPI:** 1720305246 (Entity type: Individual)
- **Enumerated:** April 23, 2010
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OS015948 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3369 STATE ROUTE 100, Macungie, PA 18062-9613
- **Phone:** (610) 402-8111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lehigh Valley Physician Group (NPI 1124379953, Macungie, PA); Medical Services Of Suffolk County PC (NPI 1811235724, Philadelphia, PA); Emergency Physician Associates Of Pennsylvania, PC (NPI 1619990900, Hanover, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Midwestern University, Chicago College Of Osteopathic Med, class of 2008
## Record status
- **NPPES last updated:** June 4, 2024
- **Other identifiers:** Medicaid 0484717 (NJ); Medicaid 04066024 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720305246) · Data from the CMS NPPES public registry.