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MARIE-CLAIRE MAROUN MD
NPI 1942250501
Internal Medicine - Rheumatology in Holyoke, MA

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
575 BEECH ST STE 402, HOLYOKE, MA 01040(413) 534-2682(413) 534-2689 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

About Marie-claire Maroun Md NPPES

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

MARIE-CLAIRE MAROUN MD (NPI 1942250501) is an individual rheumatology provider in Holyoke, Massachusetts, licensed in Massachusetts (269301) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1942250501
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMARIE-CLAIRE MAROUNCredential: MD
Location Address575 BEECH ST STE 402Holyoke, MA 01040-2223
Mailing Address575 Beech St Ste 402Holyoke, MA 01040-2223 · (413) 534-2682 · Fax (413) 534-2689
Phone(413) 534-2682
Fax(413) 534-2689
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1942250501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in MA · 269301✔ Licensed in MI · 4301080994
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301080994 (MI)
Also ListedHospitalistTaxonomy 208M00000X · License 4301080994 (MI)
575 BEECH ST STE 402, Holyoke, MA 01040
Open in Google Maps ↗

Other Identifiers 4

Other1942250501MI · Npi #
OtherMM080994MI · Bcbsm
Medicaid4862687-10MI
Other70-0-F32947-0MI · Bcbs Cpin #

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

Marie-claire Maroun Md 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 ID3072525641
PECOS Enrollment IDI20230218000311
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 3

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.
28 services20 patients
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.
25 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01040 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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

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

DR. GHOUSIA ALIKHAN M.D.
Internal Medicine (Rheumatology)
575 BEECH ST STE 402
HOLYOKE, MA 01040
Hampden County (413) 534-2682

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 Marie-claire Maroun's NPI number?

The NPI number for Marie-claire Maroun is 1942250501. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Marie-claire Maroun located?

Marie-claire Maroun practices at 575 Beech St Ste 402, Holyoke, MA 01040. The listed phone number is (413) 534-2682.

What is Marie-claire Maroun's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Marie-claire Maroun enrolled in Medicare?

Yes. Marie-claire Maroun 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 Marie-claire Maroun affiliated with any hospitals?

According to CMS data, Marie-claire Maroun is affiliated with Robert Wood Johnson University Hospital and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Marie-claire Maroun 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.