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: August 09, 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 13

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.

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.
432 services235 patients
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.
301 services77 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 services96 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.
108 services83 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
88 services16 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.
81 services62 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

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.

General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905

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 Clapper's NPI number?

The NPI number for Marc Clapper is 1881711182. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Marc Clapper located?

Marc Clapper practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9892.

What is Marc Clapper's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Marc Clapper enrolled in Medicare?

Yes. Marc Clapper 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 Clapper affiliated with any hospitals?

According to CMS data, Marc Clapper is affiliated with Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Marc Clapper was last updated on January 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.