DR. MARCUS PELUCIO M.D.
NPI 1073572087
Psychiatry & Neurology - Neurology in Charlotte, NC
NPI Status: Active since March 20, 2006
Contact Information
3303 LATROBE DR
CHARLOTTE, NC
ZIP 28211
Phone: (704) 362-2663
Fax: (704) 362-2836
- Individual
- Male
- Psychiatry & Neurology
- Neurology
- Accepts Insurance
- PECOS Enrolled
- Opted-Out Medicare
About MARCUS PELUCIO
This page provides the complete NPI Profile along with additional information for Marcus Pelucio, a provider established in Charlotte, North Carolina with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1073572087 assigned on March 2006. The practitioner's primary taxonomy code is 2084N0400X with license number MD050827L (PA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1073572087
- Provider Name
- DR. MARCUS PELUCIO M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3303 LATROBE DR CHARLOTTE, NC 28211
- Location Phone
- (704) 362-2663
- Location Fax
- (704) 362-2836
- Mailing Address
- 3303 LATROBE DR CHARLOTTE, NC 28211
- Mailing Phone
- (704) 362-2663
- Mailing Fax
- (704) 362-2836
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-20-2006
- Last Update Date
- 07-08-2007
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Marcus Pelucio opted out of Medicare effective on 10-01-2018 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD050827L
- License State
- PA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G14680 | MEDICARE UPIN (02) | PA | |
| 016114130006 | MEDICAID (05) | PA | |
| 799410 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA |
Medicare Participation & PECOS Enrollment Status
Marcus Pelucio is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2018
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 28211 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $125.01
- Minimum New Patient Price $54.12
- Maximum New Patient Price $165.09
- Average New Patient Copayment $31.25
- Minimum New Patient Copayment $13.53
- Maximum New Patient Copayment $41.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.94
- Minimum Established Patient Price $17.21
- Maximum Established Patient Price $134.61
- Average Established Patient Copayment $23.98
- Minimum Established Patient Copayment $4.3
- Maximum Established Patient Copayment $33.65
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 5 | 7 | 2 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 10 | 7 | 4 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 0 + 7 + 4 + 0 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1073572087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407803729 | MISS STEVEN DURAND HANNA LPC,LCAS Individual | Counselor (Addiction (Substance Use Disorder)) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 945-2210 |
| 1275575169 | DR. JOHN EDWARD HUMPHREY MD Individual | Psychiatry & Neurology (Psychiatry) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1336182930 | DR. JAMES WILLIAM WALLACE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1497799126 | DR. RICHARD GELLAR M.D. Individual | Psychiatry & Neurology (Psychiatry) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1366476681 | EASTOVER PSYCHOLOGICAL & PSYCHIATRIC GROUP, PA Organization | Psychiatry & Neurology (Psychiatry) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1982614467 | KAREN M HUMPHREY LCSW Individual | Social Worker (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1720098213 | DR. STEVEN MICHAEL SUTHERLAND M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1811907207 | DR. CYNTHIA L SHAHAN M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1457361859 | DR. BRADLEY REDDICK M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1184634354 | MICHAEL NIEWIADOMSKI PH.D. Individual | Psychologist (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1487664751 | DAVID C HENSHAW PH.D. Individual | Psychologist (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1730199910 | SARAH BOND LCSW Individual | Social Worker (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1023028222 | DAVID K MASSEY LCSW Individual | Social Worker (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1023028230 | SUSAN HUNT LCSW Individual | Social Worker (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1437236486 | ERIN KATHLEEN TAYLOR PH.D. Individual | Psychologist (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1770719817 | VALERIE E GLASS PMHNP, BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1306157888 | CHARLOTTE PSYCHOLOGICAL ASSESSMENT II PA Organization | Psychologist (Clinical) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1376846915 | KRISTIN D DICKIE L.P.C. Individual | Counselor (Addiction (Substance Use Disorder)) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1881986842 | MICHELE LYN CAROL-MANNERING PHD Individual | Psychologist | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
| 1699058743 | SALLY ANN ROGERS LCAS Individual | Counselor (Addiction (Substance Use Disorder)) | 3303 LATROBE DR CHARLOTTE, NC 28211 (704) 362-2663 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073572087, enumerated in the NPI registry as an "individual" on March 20, 2006
The provider is located at 3303 Latrobe Dr Charlotte, Nc 28211 and the phone number is (704) 362-2663
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider might be accepting Accepts: Aetna CVS Health, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $125.01 with an average copayment of $31.25 for new patient appointments. Established patients should expect a typical charge of $95.94 and an average copayment of 23.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on October 01, 2018 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.
This NPI record was last updated on March 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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