DR. JAMES W MARSH JR. MD
NPI 1770557787
Transplant Surgery in Pittsburgh, PA

Q: What is James Marsh's NPI number?

The NPI number for James Marsh is 1770557787. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Q: What is James Marsh's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Q: When was this NPI record last updated?

The NPPES record for James Marsh was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 15, 2006PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

3459 5TH AVE, 7 SOUTH MUH, PITTSBURGH, PA 15213(412) 647-5688 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2022, Oct 18, 2020 (2 updates tracked since 2020).

On this page

About Dr. James W Marsh Jr. Md NPPES

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

DR. JAMES W MARSH JR. MD (NPI 1770557787) is an individual transplant surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD036879E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of University Of Arkansas College Of Medicine (1979).

NPPES Registry Identity

NPI1770557787

Entity TypeIndividualMale

Primary Taxonomy204F00000X

Provider Legal NameDR. JAMES W MARSH JR.Credential: MD

Location Address3459 5TH AVE, 7 SOUTH MUHPittsburgh, PA 15213-3236

Mailing Address3459 5th Ave, 7 South MuhPittsburgh, PA 15213-3236 · (412) 647-5688

Phone(412) 647-5688

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 1979

Enumeration DateFebruary 15, 2006

Last NPPES UpdateApril 15, 20222 updates tracked since enumeration

NPPES CertifiedApril 15, 2022

✔ NPI 1770557787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204F00000X

License✔ Licensed in PA · MD036879E

Definition

A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee

Also ListedSpecialistTaxonomy 174400000X · License MD036879E (PA)

3459 5TH AVE, Pittsburgh, PA 15213

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Other Identifiers 1

Medicaid001072701PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. James W Marsh Jr. 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 ID4587853619

PECOS Enrollment IDI20170804002313

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 2

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

Wheeling Hospital, Inc

Acute Care Hospitals · Wheeling, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number510050

Location1 Medical ParkWheeling, WV 26003 · Ohio County

Emergency services Birthing friendly

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

78.46

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$38.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. LORI SMITH MACEDONIA

Physician Assistant (Medical)

3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL, ALZHEIMER RESEARCH CENTER
PITTSBURGH, PA 15213

Allegheny County (412) 692-2700

DR. ANGELA CORINNE WILLIAMS MD

Physical Medicine & Rehabilitation

3459 5TH AVE
PITTSBURGH, PA 15213

Allegheny County (412) 647-2345

MRS. SUSAN AUDREY STARK MS, RD, LD

Dietitian, Registered

3459 5TH AVE
PITTSBURGH, PA 15213

Allegheny County (412) 647-2906

DANIEL SULLIVAN

Internal Medicine

3459 5TH AVE, UPMC MONTEFIORE NW628
PITTSBURGH, PA 15213

Allegheny County (412) 692-2213

MRS. MARGARET ANN STOEFF CRNP

Nurse Practitioner (Family)

3459 5TH AVE, NW 628
PITTSBURGH, PA 15213

Allegheny County (412) 692-2210

CHELSEA STEWART

Physician Assistant

3459 5TH AVE, 2ND FLOOR RADIOLOGY
PITTSBURGH, PA 15213

Allegheny County (412) 647-5800

ALLISON GAYLE AGNONE DNP

Clinical Nurse Specialist (Acute Care)

3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL
PITTSBURGH, PA 15213

Allegheny County (412) 692-2717

DR. AMIT BASU MD

Specialist

3459 5TH AVE, N725
PITTSBURGH, PA 15213

Allegheny County (412) 647-5730

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 James Marsh's NPI number?

The NPI number for James Marsh is 1770557787. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is James Marsh located?

James Marsh practices at 3459 5th Ave 7 South Muh, Pittsburgh, PA 15213. The listed phone number is (412) 647-5688.

What is James Marsh's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is James Marsh enrolled in Medicare?

Yes. James Marsh 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 James Marsh accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list James Marsh 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 James Marsh affiliated with any hospitals?

According to CMS data, James Marsh is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc and Wheeling Hospital, Inc.

When was this NPI record last updated?

The NPPES record for James Marsh was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.