NORMAN MARCUS M.D
NPI 1679597744
Pain Medicine - Pain Medicine in New York, NY
NPI Status: Active since July 26, 2006
Contact Information
30 E 40TH ST
STE 1100
NEW YORK, NY
ZIP 10016
Phone: (212) 532-7999
Fax: (212) 532-5957
- Individual
- Male
- Pain Medicine
- Pain Medicine
- PECOS Enrolled
- Opted-Out Medicare
About NORMAN MARCUS
This page provides the complete NPI Profile along with additional information for Norman Marcus, a provider established in New York, New York with a medical specialization in Pain Medicine. The healthcare provider is registered in the NPI registry with number 1679597744 assigned on July 2006. The practitioner's primary taxonomy code is 208VP0000X with license number 102747 (NY). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1679597744
- Provider Name
- NORMAN MARCUS M.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 30 E 40TH ST STE 1100 NEW YORK, NY 10016
- Location Phone
- (212) 532-7999
- Location Fax
- (212) 532-5957
- Mailing Address
- 30 E 40TH ST STE 1100 NEW YORK, NY 10016
- Mailing Phone
- (212) 532-7999
- Mailing Fax
- (212) 532-5957
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-26-2006
- Last Update Date
- 03-07-2023
- 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. Norman Marcus opted out of Medicare effective on 12-04-2012 until 12-04-2026. 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
Pain Medicine Pain Medicine
- Taxonomy Code
- 208VP0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 102747
- License State
- NY
- Taxonomy Description
- Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Medicare Participation & PECOS Enrollment Status
Norman Marcus 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: 12-04-2012
Opt-Out End Date: 12-04-2026
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 10016 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $150.24
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $37.56
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $114.88
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $28.72
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* 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 | 6 | 7 | 9 | 5 | 9 | 7 | 7 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 14 | 9 | 10 | 9 | 14 | 7 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 4 + 9 + 1 + 0 + 9 + 1 + 4 + 7 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1679597744 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1073518361 | DR. SPENCER LEW D.D.S. Individual | Dentist (General Practice) | 30 E 40TH ST RM 706 NEW YORK, NY 10016 (212) 286-1717 |
| 1720083306 | DR. STEVEN P KOENIG M.D. Individual | Ophthalmology | 30 E 40TH ST RM 203 NEW YORK, NY 10016 (212) 889-3550 |
| 1801896055 | DR. ERNEST LEVI MD Individual | Podiatrist | 30 E 40TH ST SUITE 401 NEW YORK, NY 10016 (212) 685-5100 |
| 1427041417 | DR. MARTIN M BLAIR D.D.S. Individual | Dentist (General Practice) | 30 E 40TH ST SUITE 404 NEW YORK, NY 10016 (212) 244-2265 |
| 1902895006 | DR. KENNETH H RUBIN DDS Individual | Dentist (General Practice) | 30 E 40TH ST SUITE 207 NEW YORK, NY 10016 (212) 696-4979 |
| 1104878800 | MICHAEL MCGRAW Individual | Physical Therapist | 30 E 40TH ST SUITE 403 NEW YORK, NY 10016 (212) 686-2826 |
| 1033162391 | SUSAN FISH Individual | Physical Therapist | 30 E 40TH ST SUITE 403 NEW YORK, NY 10016 (212) 686-2826 |
| 1649290651 | MICHAEL MEDEIROS DMD Individual | Dentist | 30 E 40TH ST SUITE 207 NEW YORK, NY 10016 (212) 696-4979 |
| 1033132196 | DR. HOWARD NORMAN AARONSON D.D.S. Individual | Dentist (Endodontics) | 30 E 40TH ST SUITE 305 NEW YORK, NY 10016 (212) 689-6555 |
| 1992817399 | DR. CHARLES KANER Individual | Dentist (Periodontics) | 30 E 40TH ST # 304 NEW YORK, NY 10016 (212) 683-2066 |
| 1346346558 | DR. ALICIA DEGUZMAN D.M.D. Individual | Dentist | 30 E 40TH ST SUITE 501 NEW YORK, NY 10016 (212) 686-0888 |
| 1699874669 | JOSEPH K ASKINASI CH Individual | Chiropractor (Orthopedic) | 30 E 40TH ST 1005 NEW YORK, NY 10016 (212) 557-5822 |
| 1356442610 | DR. JOHN JOSEPH YOUNG JR. DDS Individual | Dentist (General Practice) | 30 E 40TH ST SUITE 502 NEW YORK, NY 10016 (212) 684-6520 |
| 1497842165 | DR. JOHN ALLAN FERRETTE DDS Individual | Dentist (General Practice) | 30 E 40TH ST SUITE 302 NEW YORK, NY 10016 (212) 683-2990 |
| 1437239761 | DR. FREDERICK MARK WANG M.D. Individual | Ophthalmology | 30 E 40TH ST SUITE 405 NEW YORK, NY 10016 (212) 684-3980 |
| 1609947779 | DR. JOHN A SALVI D.M.D. Individual | Dentist | 30 E 40TH ST SUITE 704 NEW YORK, NY 10016 (212) 755-7960 |
| 1033282934 | DR. HILARY B KERN MD Individual | Specialist | 30 E 40TH ST SUITE 1200 NEW YORK, NY 10016 (212) 686-7229 |
| 1811041478 | DR. PHILIP DAVID PACK D.M.D. Individual | Dentist (Periodontics) | 30 E 40TH ST 1102 NEW YORK, NY 10016 (212) 683-4476 |
| 1952447641 | DR. RONALD RUSSELL SCHWALB D.D.S. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 30 E 40TH ST SUITE 1102 NEW YORK, NY 10016 (212) 682-8826 |
| 1467576082 | WILLIAM WEST DDS Individual | Dentist (General Practice) | 30 E 40TH ST SUITE 406 NEW YORK, NY 10016 (212) 685-2323 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679597744, enumerated in the NPI registry as an "individual" on July 26, 2006
The provider is located at 30 E 40th St Ste 1100 New York, Ny 10016 and the phone number is (212) 532-7999
The provider's speciality is Pain Medicine with taxonomy code 208VP0000X
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 $150.24 with an average copayment of $37.56 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on December 04, 2012 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 04, 2026.
This NPI record was last updated on July 26, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.