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DR. JOHN THOMAS MARCOUX DPM
NPI 1831285972
Podiatrist - Foot & Ankle Surgery in Brighton, MA

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
11 NEVINS ST, SUITE 201, BRIGHTON, MA 02135(617) 789-2442(617) 789-4207 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. John Thomas Marcoux Dpm NPPES

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

DR. JOHN THOMAS MARCOUX DPM (NPI 1831285972) is an individual foot & ankle surgery provider in Brighton, Massachusetts, licensed in Massachusetts (2128) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital - Needham, and is a graduate of Temple University School Of Podiatric Medicine (1994).

NPPES Registry Identity

NPI1831285972
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JOHN THOMAS MARCOUXCredential: DPM
Location Address11 NEVINS ST, SUITE 201Brighton, MA 02135-3514
Mailing Address11 Nevins St, Suite 201Brighton, MA 02135-3514 · (617) 789-2442 · Fax (617) 789-4207
Phone(617) 789-2442
Fax(617) 789-4207
Sole ProprietorYes
Medical School CMSTemple University School Of Podiatric MedicineGraduated 1994
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 21, 2011
✔ NPI 1831285972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MA · 2128
11 NEVINS ST, Brighton, MA 02135
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINU70731
Medicaid0316733MA
Medicare ID-Type UnspecifiedY75071

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. John Thomas Marcoux Dpm 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 ID2961423884
PECOS Enrollment IDI20051207000674
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 Reassignments

4

Medicare enrollment records show John Marcoux reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Steward Medical Group, Inc
2.2 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474
Beth Israel Deaconess Medical Center, Inc.
2.2 mi
General Acute Care Hospital
330 BROOKLINE AVE, ST 207
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,477 clinicians in this Medicare group
NPI 1548202641 (617) 667-1961
Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc
2.2 mi
Internal Medicine
330 BROOKLINE AVE
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • Also billed through NPI 1720037385 (Massachusetts)
  • 2,579 clinicians in this Medicare group
NPI 1194765438 (617) 754-9600
Boston Orthopaedic And Spine LLC
6.1 mi
Orthopaedic Surgery
71 BORDER RD STE 200
Waltham, MA 02451
  • Reassigned Medicare billing, Massachusetts enrollment
  • 27 clinicians in this Medicare group
NPI 1619507043 (617) 738-8642

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 10

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
146 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
32 services11 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Beth Israel Deaconess Hospital - Needham

Acute Care Hospitals · Needham, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220083
Location148 Chestnut StreetNeedham, MA 02494 · Norfolk County
Emergency services

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

New England Baptist Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220088
Location125 Parker Hill AvenueBoston, MA 02120 · Suffolk County

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
12%203 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
56%409 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
19%70 patients1/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
9%70 patients1/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%1,516 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%529 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
71%808 patients3/55-star benchmark: 97%
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…
34%755 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
14%433 patients1/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 95% · 460 patients
89%237 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%808 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
47%808 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%808 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
2 suppliers27 claims27 services$270.42 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.

INGOLF TUERK M.D.
Urology
11 NEVINS ST, STE 303
BRIGHTON, MA 02135
Suffolk County (617) 787-8181
MISS TERESA ANN GORE ANP-BC
Nurse Practitioner (Adult Health)
11 NEVINS ST, SUITE 401
BRIGHTON, MA 02135
Suffolk County (617) 782-7788
JOELLE M LIEMAN MD
Obstetrics & Gynecology
11 NEVINS ST, MOB SUITE 406
BRIGHTON, MA 02135
Suffolk County (617) 562-7006
DR. DIANE M. ENGLISH M.D.
Orthopaedic Surgery
11 NEVINS ST, SUITE 403
BRIGHTON, MA 02135
Suffolk County (671) 254-1247
MARVIN J LOPEZ M.D.
Surgery
11 NEVINS ST, STE 201
BRIGHTON, MA 02135
Suffolk County (617) 789-2442
OMAR WAHID MD
Family Medicine
11 NEVINS ST, SUITE 505
BRIGHTON, MA 02135
Suffolk County (617) 414-2500
PRATT OPHTHALMOLOGY ASSOCIATES, INC
Technician/Technologist (Optician)
11 NEVINS ST, ST ELIZABETH'S MEDICAL BLDG. SUITE 205
BRIGHTON, MA 02135
Suffolk County (617) 779-7330
DR. LEVI J. GOLDFARB MD, MBA
Student in an Organized Health Care Education/Training Program
11 NEVINS ST
BRIGHTON, MA 02135
Suffolk County (161) 778-9210

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 John Marcoux's NPI number?

The NPI number for John Marcoux is 1831285972. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is John Marcoux located?

John Marcoux practices at 11 Nevins St Suite 201, Brighton, MA 02135. The listed phone number is (617) 789-2442.

What is John Marcoux's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is John Marcoux enrolled in Medicare?

Yes. John Marcoux 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 John Marcoux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Marcoux reassigns Medicare benefits to 4 organizations: Steward Medical Group, Inc (Watertown, MA), Beth Israel Deaconess Medical Center, Inc. (Boston, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Boston Orthopaedic And Spine LLC (Waltham, MA). 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 John Marcoux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Marcoux accept?

Health plans from Anthem Blue Cross and Blue Shield list John Marcoux 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 John Marcoux affiliated with any hospitals?

According to CMS data, John Marcoux is affiliated with Beth Israel Deaconess Hospital - Needham, Beth Israel Deaconess Medical Center and New England Baptist Hospital.

When was this NPI record last updated?

The NPPES record for John Marcoux was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.