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MARC A CASSONE DO
NPI 1881057149
Emergency Medicine in Shiprock, NM

Active since April 03, 2016PECOS EnrolledAccepts Medicare Assignment
US HWY 491 NORTH, SHIPROCK, NM 87420(505) 368-6001 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 14, 2020, Apr 3, 2016 (2 updates tracked since 2016).

About Marc A Cassone Do NPPES

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

MARC A CASSONE DO (NPI 1881057149) is an individual emergency medicine provider in Shiprock, New Mexico, licensed in New York (306299) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1881057149
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARC A CASSONECredential: DO
Location AddressUS HWY 491 NORTHShiprock, NM 87420
Mailing AddressPo Box 160Shiprock, NM 87420-0160 · (505) 368-6001
Phone(505) 368-6001
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateApril 3, 2016
Last NPPES UpdateAugust 14, 20202 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1881057149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 306299
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
US HWY 491 NORTH, Shiprock, NM 87420
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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

Marc A Cassone Do 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 ID244526770
PECOS Enrollment IDI20221209002675
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
134 services132 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
114 services113 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
45 services44 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331302
Location75 Park StreetElizabethtown, NY 12932 · Essex County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87420 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

ZELDA GAIL GARCIA LCSW
Social Worker (Clinical)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
DR. MATTHEW S SPIVA DPM
Podiatrist
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
CYNTHIA L. DUNDER RN
Registered Nurse
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
JULIE ANN WALKER PHARMD, BCPS
Pharmacist
US HWY 491 NORTH, NORTHERN NAVAJO MEDICAL CENTER PHARMACY DEPARTMENT
SHIPROCK, NM 87420
San Juan County (505) 386-7266
MS. DONIELLE DAWN BIGMAN FNP-BC
Nurse Practitioner (Family)
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
AIMEE E MCMULLIN MD
Family Medicine
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6001
FLOYD P BOND MD
Obstetrics & Gynecology
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-6401
SANDRA BEIRNE MD
Pediatrics
US HWY 491 NORTH
SHIPROCK, NM 87420
San Juan County (505) 368-7060

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 Cassone's NPI number?

The NPI number for Marc Cassone is 1881057149. It was assigned to this individual provider in the NPPES registry on April 3, 2016.

Where is Marc Cassone located?

Marc Cassone practices at Us Hwy 491 North, Shiprock, NM 87420. The listed phone number is (505) 368-6001.

What is Marc Cassone's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Marc Cassone enrolled in Medicare?

Yes. Marc Cassone 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 Marc Cassone affiliated with any hospitals?

According to CMS data, Marc Cassone is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Elizabethtown Community Hospital and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Marc Cassone was last updated on August 14, 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.