MARC J LAUFGRABEN MD, MBA
NPI 1932146255
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newark, DE

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
4735 OGLETOWN STANTON RD, MAP 2 STE 3201, NEWARK, DE 19713(302) 623-4323(856) 968-0735 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 1, 2017 (2 updates tracked since 2017).

About Marc J Laufgraben Md, Mba NPPES

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

MARC J LAUFGRABEN MD, MBA (NPI 1932146255) is an individual endocrinology, diabetes & metabolism provider in Newark, Delaware, licensed in Delaware (C10012170) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and is a graduate of Harvard Medical School (1992).

NPPES Registry Identity

NPI1932146255
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameMARC J LAUFGRABENCredential: MD, MBA
Location Address4735 OGLETOWN STANTON RD, MAP 2 STE 3201Newark, DE 19713-2094
Mailing Address200 Hygeia Dr Ste 2300Newark, DE 19713-2049 · (856) 342-2312 · Fax (856) 968-0735
Fax(856) 968-0735
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1992
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1932146255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in DE · C10012170 Licensed in NJ · 25MA08922800 Licensed in RI · MD09982
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
4735 OGLETOWN STANTON RD, Newark, DE 19713

Other Identifiers 1

Medicaid7006688RI

Accepted Insurance

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 J Laufgraben Md, Mba 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 ID6103800685
PECOS Enrollment IDI20170821000340
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 7

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 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.
400 services309 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
202 services76 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.
78 services57 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
70 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
53 services53 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
53 services52 patients

Hospital Affiliations CMS Care Compare

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

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
30 suppliers64 claims233 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers35 claims55 services$1.09 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
18 suppliers237 claims240 services$187.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Physician Assistant (Surgical)
4735 OGLETOWN STANTON RD, MAP II, STE 2121
NEWARK, DE 19713
Dentist (General Practice)
4735 OGLETOWN STANTON RD, SUITE 1101
NEWARK, DE 19713
Obstetrics & Gynecology
4735 OGLETOWN STANTON RD, SUITE 2300
NEWARK, DE 19713
Social Worker (Clinical)
4735 OGLETOWN STANTON RD, MAP 2, SUITE 1250
NEWARK, DE 19713
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4735 OGLETOWN STANTON RD, SUITE 1208
NEWARK, DE 19713
Pediatrics
4735 OGLETOWN STANTON RD, M.A.P. #2, SUITE 1116
NEWARK, DE 19713
Surgery (Vascular Surgery)
4735 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION 2 SUITE 1208
NEWARK, DE 19713
Nurse Practitioner (Family)
4735 OGLETOWN STANTON RD, MAPII SUITE 2123
NEWARK, DE 19713

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 Laufgraben's NPI number?

The NPI number for Marc Laufgraben is 1932146255. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Marc Laufgraben located?

Marc Laufgraben practices at 4735 Ogletown Stanton Rd Map 2 Ste 3201, Newark, DE 19713. The listed phone number is (302) 623-4323.

What is Marc Laufgraben's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Marc Laufgraben enrolled in Medicare?

Yes. Marc Laufgraben 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.

What insurance does Marc Laufgraben accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Marc Laufgraben 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.

Is Marc Laufgraben affiliated with any hospitals?

According to CMS data, Marc Laufgraben is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Marc Laufgraben was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.