MARC JOSEPH CLAPPER D.O.
NPI 1881711182
Pathology - Anatomic Pathology & Clinical Pathology in Johnstown, PA

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9892(814) 534-9137 Get Directions Write a Review

NPPES record last updated: January 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marc Joseph Clapper D.o. NPPES

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

MARC JOSEPH CLAPPER D.O. (NPI 1881711182) is an individual anatomic pathology & clinical pathology provider in Johnstown, Pennsylvania, licensed in Pennsylvania (OS014283) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2006).

NPPES Registry Identity

NPI1881711182
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameMARC JOSEPH CLAPPERCredential: D.O.
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address620 Howard AveAltoona, PA 16601-4804 · (814) 889-2340 · Fax (814) 889-6001
Fax(814) 534-9137
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2006
Enumeration DateMarch 23, 2007
Last NPPES UpdateJanuary 29, 2023
NPPES CertifiedJanuary 29, 2023
NPI 1881711182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in PA · OS014283
Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedGeneral PracticeTaxonomy 208D00000X · License OT011820 (PA)
1086 FRANKLIN ST, Johnstown, PA 15905

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 Joseph Clapper D.o. 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 ID4082879564
PECOS Enrollment IDI20120709000065
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 16

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
398 services90 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
393 services231 patients
Cell examination of specimen, selective cellular enhancement technique 88112
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
181 services143 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
138 services71 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
119 services100 patients
Evaluation of fine needle aspirate with interpretation and report 88173
This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
77 services45 patients

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Surgery (Trauma Surgery)
1086 FRANKLIN ST, GOOD SAMARITAN BLDG., GROUND FLOOR
JOHNSTOWN, PA 15905
Surgery (Surgical Critical Care)
1086 FRANKLIN ST, GOOD SAMARITAN BLDG., GROUND FLOOR
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Anesthesiology
1086 FRANKLIN ST, SUITE A401
JOHNSTOWN, PA 15905

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881711182, enumerated as an "individual" on March 23, 2007.

The provider is located at 1086 FRANKLIN ST JOHNSTOWN, PA 15905 and the phone number is (814) 534-9892.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.

Marc Clapper is affiliated with: UPMC ALTOONA.