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DR. MARC ETTENSOHN M.D.
NPI 1861753899
Psychiatry & Neurology - Psychiatry in Gainesville, FL

Active since June 06, 2012PECOS EnrolledAccepts Medicare Assignment
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD, GAINESVILLE, FL 32610(859) 494-2950 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Marc Ettensohn M.d. NPPES

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

DR. MARC ETTENSOHN M.D. (NPI 1861753899) is an individual psychiatry provider in Gainesville, Florida, licensed in Florida (TRN17823) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2012).

NPPES Registry Identity

NPI1861753899
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MARC ETTENSOHNCredential: M.D.
Location AddressUNIVERSITY OF FLORIDA 1600 SW ARCHER RDGainesville, FL 32610-3003
Mailing AddressDepartment Of Psychiatry, 2995 Drew StreetClearwater, FL 33759
Phone(859) 494-2950
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2012
Enumeration DateJune 6, 2012
Last NPPES UpdateNovember 4, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1861753899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · TRN17823
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD, Gainesville, FL 32610
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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 and accepts Medicare assignment

Dr. Marc Ettensohn M.d. 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 ID9133355563
PECOS Enrollment IDI20181110000181
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

5

Medicare enrollment records show Marc Ettensohn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baycare Behavioral Health Inc.
77 mi
Mental Health (Including Community Mental Health Center)
15311 CORTEZ BLVD
Brooksville, FL 34613
  • Reassigned Medicare billing, Florida enrollment
  • 224 clinicians in this Medicare group
NPI 1962785352 (752) 540-9335
Behavioral Health Management Services Inc
100 mi
Adult Mental Health
4411 ROWAN RD
New Port Richey, FL 34653
  • Reassigned Medicare billing, Florida enrollment
  • 188 clinicians in this Medicare group
NPI 1043472673 (727) 841-4430
Baycare Behavioral Health Associates LLC
100 mi
Psychiatry
21808 STATE ROAD 54
Lutz, FL 33549
  • Reassigned Medicare billing, Florida enrollment
  • 240 clinicians in this Medicare group
NPI 1245502152 (727) 315-6974
Mfe Psychiatry LLC
108 mi
Family Medicine
13801 BRUCE B DOWNS BLVD STE 305
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1285256040 (352) 519-2119
Winter Haven Hospital Inc
115 mi
General Acute Care Hospital
200 AVE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 179 clinicians in this Medicare group
NPI 1477599975 (863) 293-1121

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 32610 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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

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.
7%419 patients1/55-star benchmark: 97%
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…
37%419 patients2/55-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…
0%419 patients1/55-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.
2%419 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MARIA RODRIGUEZ-ROMAN
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-7981
CHRISTOPHER FRANCIS ONG MD
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-7981
KATHLEEN BURNS M.D.
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF FLORIDA 1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-4357

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 Marc Ettensohn's NPI number?

The NPI number for Marc Ettensohn is 1861753899. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Marc Ettensohn located?

Marc Ettensohn practices at University Of Florida 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (859) 494-2950.

What is Marc Ettensohn's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marc Ettensohn enrolled in Medicare?

Yes. Marc Ettensohn 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 Marc Ettensohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Ettensohn reassigns Medicare benefits to 5 organizations: Baycare Behavioral Health Inc. (Brooksville, FL), Behavioral Health Management Services Inc (New Port Richey, FL), Baycare Behavioral Health Associates LLC (Lutz, FL), Mfe Psychiatry LLC (Tampa, FL) and Winter Haven Hospital Inc (Winter Haven, FL). 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 Marc Ettensohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Ettensohn accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Marc Ettensohn 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 Marc Ettensohn was last updated on November 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.