MR. CANIO THOMAS MARCANTONIO P.A.
NPI 1730148263
Physician Assistant in Winston Salem, NC

Active since March 22, 2006PECOS EnrolledAccepts Medicare Assignment
2915 LYNDHURST AVE, WINSTON SALEM, NC 27103(336) 765-5221(336) 765-0430 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2021, Oct 25, 2020, Aug 15, 2018 and 1 more (4 updates tracked since 2016).

About Mr. Canio Thomas Marcantonio P.a. NPPES

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

MR. CANIO THOMAS MARCANTONIO P.A. (NPI 1730148263) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (103584) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1730148263
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CANIO THOMAS MARCANTONIOCredential: P.A.
Location Address2915 LYNDHURST AVEWinston Salem, NC 27103-4005
Mailing AddressPo Box 751803Charlotte, NC 28275-1803
Fax(336) 765-0430
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 22, 2006
Last NPPES UpdateJune 8, 20214 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
NPI 1730148263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 103584
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2915 LYNDHURST AVE, Winston Salem, NC 27103

Secondary Practice Location 1

Location 1140 Kimel Park Dr Ste 100Winston Salem, NC 27103 · Phone (336) 245-2100 · Fax (336) 768-7782

Other Identifiers 1

Medicaid8101544NC

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

Mr. Canio Thomas Marcantonio P.a. 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 ID9830165869
PECOS Enrollment IDI20040909001038
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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
28 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Medical Park Hospital

Acute Care Hospitals · Winston-Salem, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340148
Location1950 S Hawthorne RdWinston-Salem, NC 27103 · Forsyth County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
44%27 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
37%30 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Surgery
2915 LYNDHURST AVE
WINSTON SALEM, NC 27103
Surgery
2915 LYNDHURST AVE
WINSTON SALEM, NC 27103
Surgery
2915 LYNDHURST AVE
WINSTON SALEM, NC 27103
Surgery
2915 LYNDHURST AVE
WINSTON SALEM, NC 27103
Surgery
2915 LYNDHURST AVE
WINSTON-SALEM, NC 27103
Physician Assistant
2915 LYNDHURST AVE
WINSTON SALEM, NC 27103
Surgery
2915 LYNDHURST AVE
WINSTON-SALEM, NC 27103
Nurse Practitioner
2915 LYNDHURST AVE
WINSTON SALEM, NC 27103

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 Canio Marcantonio's NPI number?

The NPI number for Canio Marcantonio is 1730148263. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Canio Marcantonio located?

Canio Marcantonio practices at 2915 Lyndhurst Ave, Winston Salem, NC 27103. The listed phone number is (336) 765-5221.

What is Canio Marcantonio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Canio Marcantonio enrolled in Medicare?

Yes. Canio Marcantonio 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 Canio Marcantonio accept?

Health plans from Blue Cross and Blue Shield of NC list Canio Marcantonio 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 Canio Marcantonio affiliated with any hospitals?

According to CMS data, Canio Marcantonio is affiliated with Novant Health Forsyth Medical Center and Novant Health Medical Park Hospital.

When was this NPI record last updated?

The NPPES record for Canio Marcantonio was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.