DR. MARCO XAVIER PROANO MD
NPI 1992333132
Hospitalist in Mount Holly, NJ

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
175 MADISON AVE FL 1, MOUNT HOLLY, NJ 08060(609) 914-6000(609) 914-6182 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 5, 2023, Apr 1, 2020 (2 updates tracked since 2020).

About Dr. Marco Xavier Proano Md NPPES

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

DR. MARCO XAVIER PROANO MD (NPI 1992333132) is an individual hospitalist provider in Mount Holly, New Jersey, licensed in New Jersey (25MA11692600) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Rutgers New Jersey Medical School (2020).

NPPES Registry Identity

NPI1992333132
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MARCO XAVIER PROANOCredential: MD
Location Address175 MADISON AVE FL 1Mount Holly, NJ 08060-2099
Mailing Address175 Madison Ave Fl 1Mount Holly, NJ 08060-2099 · (609) 914-6000 · Fax (609) 914-6182
Fax(609) 914-6182
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateJanuary 29, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
NPI 1992333132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NJ · 25MA11692600
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA11692600 (NJ)
175 MADISON AVE FL 1, Mount Holly, NJ 08060

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

Dr. Marco Xavier Proano 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 ID1951728476
PECOS Enrollment IDI20230724002435
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.

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.
679 services234 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
200 services192 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 2

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

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08060 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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

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.

Hospitalist
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060
Nurse Practitioner (Acute Care)
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060
Hospitalist
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060
Nurse Anesthetist, Certified Registered
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060
Nurse Anesthetist, Certified Registered
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060
Nurse Anesthetist, Certified Registered
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060
Nurse Anesthetist, Certified Registered
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060
Hospitalist
175 MADISON AVE FL 1
MOUNT HOLLY, NJ 08060

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 Marco Proano's NPI number?

The NPI number for Marco Proano is 1992333132. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Marco Proano located?

Marco Proano practices at 175 Madison Ave Fl 1, Mount Holly, NJ 08060. The listed phone number is (609) 914-6000.

What is Marco Proano's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Marco Proano enrolled in Medicare?

Yes. Marco Proano 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 Marco Proano affiliated with any hospitals?

According to CMS data, Marco Proano is affiliated with West Jersey Hospital and Virtua Mount Holly Hospital.

When was this NPI record last updated?

The NPPES record for Marco Proano was last updated on January 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.