DR. ALEXANDER M MARCUS MD
NPI 1992788863
Orthopaedic Surgery - Hand Surgery in Edison, NJ

Q: What is Alexander Marcus's NPI number?

The NPI number for Alexander Marcus is 1992788863. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Q: What is Alexander Marcus's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Q: When was this NPI record last updated?

The NPPES record for Alexander Marcus was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since November 23, 2005PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

205 MAY ST, SUITE 202, EDISON, NJ 08837(908) 757-1520(908) 769-1388 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 20, 2025, Jul 22, 2021 (2 updates tracked since 2021).

On this page

About Dr. Alexander M Marcus Md NPPES

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

DR. ALEXANDER M MARCUS MD (NPI 1992788863) is an individual hand surgery provider in Edison, New Jersey, licensed in New Jersey (25MA07563800) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Icahn School Of Medicine At Mount Sinai (1997).

NPPES Registry Identity

NPI1992788863

Entity TypeIndividualMale

Primary Taxonomy207XS0106X

Provider Legal NameDR. ALEXANDER M MARCUSCredential: MD

Location Address205 MAY ST, SUITE 202Edison, NJ 08837-3267

Mailing Address205 May St, Suite 202Edison, NJ 08837-3267 · (908) 757-1520 · Fax (908) 769-1388

Phone(908) 757-1520

Fax(908) 769-1388

Sole ProprietorNo

Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1997

Enumeration DateNovember 23, 2005

Last NPPES UpdateJuly 18, 20252 updates tracked since enumeration

NPPES CertifiedJuly 18, 2025

✔ NPI 1992788863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0106X

License✔ Licensed in NJ · 25MA07563800

Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 25MA07563800 (NJ)

205 MAY ST, Edison, NJ 08837

Open in Google Maps ↗

Other Identifiers 1

Medicaid0026611NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexander M Marcus 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 ID9335043108

PECOS Enrollment IDI20031124000017

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.

Medicare Billing Reassignments

Medicare enrollment records show Alexander Marcus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopedic Associates Of Central Jersey PA

Same address

Orthopaedic Surgery

205 MAY ST, SUITE 202
Edison, NJ 08837

Reassigned Medicare billing, New Jersey enrollment
3 clinicians in this Medicare group

NPI 1386767127 (908) 757-1520

Hackensack Meridian Health Medical Group - Specialty Care PC

18 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

217 services76 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

212 services152 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.

154 services128 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

122 services87 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.

120 services120 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

92 services71 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

62 services50 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

62 services62 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

32 services21 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

30 services23 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

28 services19 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

27 services22 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

23 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310108

Location65 James StreetEdison, NJ 08820 · Middlesex County

Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310111

Location901 West Main StreetFreehold, NJ 07728 · Monmouth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08837 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 14

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

SEEMA HANDA NAYYAR DO

Anesthesiology

205 MAY ST, SUITE 103
EDISON, NJ 08837

Middlesex County (732) 826-4177

DR. MARC RAFAEL WOLFMAN MD

Internal Medicine (Gastroenterology)

205 MAY ST, SUITE 201
EDISON, NJ 08837

Middlesex County (732) 661-9225

DR. MICHAEL SCOTT GOLDBERG MD

Internal Medicine (Gastroenterology)

205 MAY ST, SUITE 201
EDISON, NJ 08837

Middlesex County (732) 661-9225

DR. JOSHUA M ZIMMERMAN MD

Orthopaedic Surgery

205 MAY ST, STE 202
EDISON, NJ 08837

Middlesex County (908) 757-1520

MRS. KAREN LYNN CHAREN PT

Physical Therapist

205 MAY ST, SUITE 101
EDISON, NJ 08837

Middlesex County (908) 757-1522

CARMELINO C PAYUMO MD

Anesthesiology

205 MAY ST, SUITE 103
EDISON, NJ 08837

Middlesex County (732) 661-9075

ORTHOPEDIC ASSOCIATES OF CENTRAL JERSEY PA

Orthopaedic Surgery

205 MAY ST, SUITE 202
EDISON, NJ 08837

Middlesex County (908) 757-1520

GASTROENTEROLOGY CONSULTANTS, P.A.

Internal Medicine (Gastroenterology)

205 MAY ST, SUITE 201
EDISON, NJ 08837

Middlesex County (732) 661-9225

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 Alexander Marcus's NPI number?

The NPI number for Alexander Marcus is 1992788863. It was assigned to this individual provider in the NPPES registry on November 23, 2005.

Where is Alexander Marcus located?

Alexander Marcus practices at 205 May St Suite 202, Edison, NJ 08837. The listed phone number is (908) 757-1520.

What is Alexander Marcus's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Alexander Marcus enrolled in Medicare?

Yes. Alexander Marcus 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.

Which organizations bill Medicare for Alexander Marcus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexander Marcus reassigns Medicare benefits to 2 organizations: Orthopedic Associates Of Central Jersey PA (Edison, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexander Marcus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexander Marcus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Alexander Marcus 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 Alexander Marcus affiliated with any hospitals?

According to CMS data, Alexander Marcus is affiliated with St Joseph's University Medical Center Inc, Raritan Bay Medical Center, Jfk Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Marcus was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.