DR. MARC S CARP MD
NPI 1942313291
Internal Medicine - Gastroenterology in North Miami Beach, FL

Active since August 17, 2006PECOS Enrolled
82.63/100
CMS Quality Rating
1400 NE MIAMI GARDENS DR, SUITE 221, NORTH MIAMI BEACH, FL 33179(305) 949-2020(305) 949-6715 Get Directions Write a Review

NPPES record last updated: February 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marc S Carp Md NPPES

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

DR. MARC S CARP MD (NPI 1942313291) is an individual gastroenterology provider in North Miami Beach, Florida, licensed in Florida (0038332) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942313291
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. MARC S CARPCredential: MD
Location Address1400 NE MIAMI GARDENS DR, SUITE 221North Miami Beach, FL 33179
Mailing AddressPo Box 848593Boston, MA 02284-8593 · (305) 468-4180 · Fax (305) 595-1013
Fax(305) 949-6715
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateFebruary 9, 2009
NPI 1942313291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · 0038332
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1400 NE MIAMI GARDENS DR, North Miami Beach, FL 33179

Other Identifiers 9

Other203400983FL · Champus
Other95735Bluecross
Other22472Staywell
Other2499150Ghi
Other3450134Aetna
OtherP00120815Railroad Medicare
Other22472Wellcare
Medicare UPIND63588
Medicare ID-Type Unspecified95735AFL

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 (PECOS)

Dr. Marc S Carp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33179 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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.

Behavior Analyst
1400 NE MIAMI GARDENS DR, SUITE 211
MIAMI, FL 33179
Community/Behavioral Health
1400 NE MIAMI GARDENS DR, SUITE NUMBER 206 B
NORTH MIAMI BEACH, FL 33179
Behavior Technician
1400 NE MIAMI GARDENS DR
MIAMI, FL 33179
Legal Medicine
1400 NE MIAMI GARDENS DR, 202
NORTH MIAMI BEACH, FL 33179
Dentist (Orthodontics and Dentofacial Orthopedics)
1400 NE MIAMI GARDENS DR, SUITE101
NORTH MIAMI BEACH, FL 33179
Nurse Practitioner
1400 NE MIAMI GARDENS DR, SUITE 105
NORTH MIAMI BEACH, FL 33179
Internal Medicine (Hospice and Palliative Medicine)
1400 NE MIAMI GARDENS DR, SUITE 202
NORTH MIAMI BEACH, FL 33179
Nurse Practitioner (Family)
1400 NE MIAMI GARDENS DR
MIAMI GARDENS, FL 33179

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 Carp's NPI number?

The NPI number for Marc Carp is 1942313291. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Marc Carp located?

Marc Carp practices at 1400 NE Miami Gardens Dr Suite 221, North Miami Beach, FL 33179. The listed phone number is (305) 949-2020.

What is Marc Carp's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Marc Carp enrolled in Medicare?

Yes. Marc Carp is registered in the Medicare PECOS enrollment system.

What insurance does Marc Carp accept?

Health plans from AvMed list Marc Carp 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.

When was this NPI record last updated?

The NPPES record for Marc Carp was last updated on February 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.