DR. RAYMOND PAUL MAROTTA M.D.
NPI 1871598995
Family Medicine in Charlottesville, VA

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment
18.46/100
CMS Quality Rating
1450 SACHEM PL, UNIT 201, CHARLOTTESVILLE, VA 22901(434) 973-9744(434) 973-9790 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raymond Paul Marotta M.d. NPPES

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

DR. RAYMOND PAUL MAROTTA M.D. (NPI 1871598995) is an individual family medicine provider in Charlottesville, Virginia, licensed in Virginia (0101033468) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of University Of Virginia School Of Medicine (1982).

NPPES Registry Identity

NPI1871598995
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAYMOND PAUL MAROTTACredential: M.D.
Location Address1450 SACHEM PL, UNIT 201Charlottesville, VA 22901-2554
Mailing Address1450 Sachem Pl, Unit 201Charlottesville, VA 22901-2554 · (434) 973-9744 · Fax (434) 973-9790
Fax(434) 973-9790
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1982
Enumeration DateJune 15, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1871598995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101033468
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1450 SACHEM PL, Charlottesville, VA 22901

Other Identifiers 5

Other45140VA · Optima Health
Other012125-5VA · Anthem Blue Cross Blue Sh
Other7731310002VA · Cigna Healthcare
Other142738VA · Southern Health/coventry
Medicare UPINB06665VA

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. Raymond Paul Marotta 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 ID3072681055
PECOS Enrollment IDI20100714000211
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 21

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 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.
527 services165 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
467 services177 patients
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.
229 services129 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
152 services69 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
134 services134 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
107 services73 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Novant Health Uva Health System Culpeper Med Cente

Acute Care Hospitals · Culpeper, VA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490019
Location501 Sunset LaneCulpeper, VA 22701 · Culpeper County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22901 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

18.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost61.54

Other Providers at the Same Location NPPES 12

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

Optometrist
1450 SACHEM PL, STE 202
CHARLOTTESVILLE, VA 22901
Registered Nurse
1450 SACHEM PL
CHARLOTTESVILLE, VA 22901
Optometrist
1450 SACHEM PL, STE 202
CHARLOTTESVILLE, VA 22901
Family Medicine
1450 SACHEM PL, SUITE 201
CHARLOTTESVILLE, VA 22901
Optometrist
1450 SACHEM PL, STE 202
CHARLOTTESVILLE, VA 22901
Marriage & Family Therapist
1450 SACHEM PL, SUITE 101
CHARLOTTESVILLE, VA 22901
Counselor (Professional)
1450 SACHEM PL, SUITE 101
CHARLOTTESVILLE, VA 22901
Nurse Practitioner (Family)
1450 SACHEM PL
CHARLOTTESVILLE, VA 22901

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 Raymond Marotta's NPI number?

The NPI number for Raymond Marotta is 1871598995. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Raymond Marotta located?

Raymond Marotta practices at 1450 Sachem Pl Unit 201, Charlottesville, VA 22901. The listed phone number is (434) 973-9744.

What is Raymond Marotta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raymond Marotta enrolled in Medicare?

Yes. Raymond Marotta 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.

Is Raymond Marotta affiliated with any hospitals?

According to CMS data, Raymond Marotta is affiliated with University Of Virginia Medical Center, Novant Health Uva Health System Culpeper Med Cente, Novant Prince William Medical Center, Sentara Martha Jefferson Hospital and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Raymond Marotta was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.