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RICHARD M MARCHESE MD
NPI 1801423389
Orthopaedic Surgery in Stony Brook, NY

Active since March 25, 2020PECOS Enrolled
STONY BROOK MEDICINE HSC T-18 DEPARTMENT OF ORTHOPEDICS, STONY BROOK, NY 11794(631) 444-1487(631) 444-3502 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Richard M Marchese Md NPPES

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

RICHARD M MARCHESE MD (NPI 1801423389) is an individual orthopaedic surgery provider in Stony Brook, New York, licensed in Florida (ME173067) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801423389
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameRICHARD M MARCHESECredential: MD
Location AddressSTONY BROOK MEDICINE HSC T-18 DEPARTMENT OF ORTHOPEDICSStony Brook, NY 11794-8181
Mailing AddressStony Brook Medicine Hsc T-18 Department Of OrthopedicsStony Brook, NY 11794-8181 · (631) 444-1487 · Fax (631) 444-3502
Phone(631) 444-1487
Fax(631) 444-3502
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1801423389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in FL · ME173067
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
STONY BROOK MEDICINE HSC T-18 DEPARTMENT OF ORTHOPEDICS, Stony Brook, NY 11794
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard M Marchese Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Richard Marchese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orlando Health Medical Group Inc
973 mi
Internal Medicine
52 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 3,290 clinicians in this Medicare group
NPI 1669429577 (321) 841-2452

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

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 Richard Marchese's NPI number?

The NPI number for Richard Marchese is 1801423389. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Richard Marchese located?

Richard Marchese practices at Stony Brook Medicine Hsc T-18 Department Of Orthopedics, Stony Brook, NY 11794. The listed phone number is (631) 444-1487.

What is Richard Marchese's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Marchese enrolled in Medicare?

Yes. Richard Marchese is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Marchese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Marchese reassigns Medicare benefits to Orlando Health Medical Group Inc (Orlando, FL). The 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 Richard Marchese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Marchese accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 6 other insurers list Richard Marchese 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 Richard Marchese was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.