CARMINE C MARCHIOLI MD
NPI 1861592016
Internal Medicine - Hematology & Oncology in Du Bois, PA

Q: What is Carmine Marchioli's NPI number?

The NPI number for Carmine Marchioli is 1861592016. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Carmine Marchioli's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Carmine Marchioli was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 September 25, 2006PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

100 HOSPITAL AVE, DU BOIS, PA 15801(814) 375-3535(814) 375-3563 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Carmine C Marchioli Md NPPES

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

CARMINE C MARCHIOLI MD (NPI 1861592016) is an individual hematology & oncology provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD047897L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Wayne State University School Of Medicine (1990).

NPPES Registry Identity

NPI1861592016

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameCARMINE C MARCHIOLICredential: MD

Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440

Mailing AddressPo Box 447, 100 Hospital AveDu Bois, PA 15801-0447 · (814) 375-3535 · Fax (814) 375-3563

Phone(814) 375-3535

Fax(814) 375-3563

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1990

Enumeration DateSeptember 25, 2006

Last NPPES UpdateOctober 18, 2007

✔ NPI 1861592016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in PA · MD047897L

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

100 HOSPITAL AVE, Du Bois, PA 15801

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Other Identifiers 4

Medicare PIN868561PLGPA

Medicaid0015886000002PA

Medicare PIN868561PA

Medicare UPING26775PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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

Carmine C Marchioli 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 ID2264531722

PECOS Enrollment IDI20070625000068

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 3

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.

62 services30 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.

52 services39 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

16 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390199

Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County

Emergency services Birthing friendly

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number391312

Location100 Hospital RoadBrookville, PA 15825 · Jefferson County

Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391315

Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

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.

96.56/100

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

Scored as part of a group practice

Promoting Interoperability

95.96

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.

Capecitabine, oral, 500 mg J8521

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers22 claims1,344 services$0.70 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers15 claims15 services$17.69 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.

SUSAN M. MITCHELL CRNP

Nurse Practitioner