DR. JEFFREY ALLEN MARCUS M.D.
NPI 1821025677
Psychiatry & Neurology - Psychiatry in Madison, WI

NPI Status: Active since June 27, 2006

Contact Information

317 KNUTSON DR
MADISON, WI
ZIP 53704
Phone: (608) 301-9414
Fax: (608) 301-9438

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  • Individual
  • Male
  • Psychiatry & Neurology
  • Psychiatry
  • PECOS Enrolled

About JEFFREY MARCUS

This page provides the complete NPI Profile along with additional information for Jeffrey Marcus, a provider established in Madison, Wisconsin with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1821025677 assigned on June 2006. The practitioner's primary taxonomy code is 2084P0800X with license number 35610 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1821025677
Provider Name
DR. JEFFREY ALLEN MARCUS M.D.
Gender
Male
Entity Type
Individual
Location Address
317 KNUTSON DR MADISON, WI 53704
Location Phone
(608) 301-9414
Location Fax
(608) 301-9438
Mailing Address
317 KNUTSON DR MADISON, WI 53704
Mailing Phone
(608) 301-9414
Mailing Fax
(608) 301-9438
Is Sole Proprietor?
No
Enumeration Date
06-27-2006
Last Update Date
07-08-2007
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A psychiatrist like Jeffrey Marcus are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

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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 Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
35610
License State
WI
Taxonomy Description
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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
32074600MEDICAID (05)WI 
F94416MEDICARE UPIN (02) 

Medicare Participation & PECOS Enrollment Status

Jeffrey 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

  • 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 53704 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $163.24
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $40.81
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* 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.

Reviews for DR. JEFFREY ALLEN MARCUS M.D.

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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.
1821025677
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28410210614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 0 + 2 + 1 + 0 + 6 + 1 + 4 + 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 = 77

The NPI number 1821025677 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
1851320360DR. JEFFREY NEALE SELTZ M.D.
Individual
Pediatrics (Neurodevelopmental Disabilities)317 KNUTSON DR
MADISON, WI 53704
(608) 301-9201
1114936648MS. KARIN METZGEN MSPT
Individual
Physical Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9382
1881791887 KIMBERLY ANNE COPLIEN DPT
Individual
Physical Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9382
1851499495 SUSAN C DEMPSEY PT
Individual
Physical Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9386
1386742161MRS. MUNCHUNG CHANG MS, PT
Individual
Physical Therapist (Pediatrics)317 KNUTSON DR
MADISON, WI 53704
(608) 301-9386
1710084819 SANDRA K. DROSTER OTR
Individual
Occupational Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9296
1205933314MRS. KAREN L MCROBERTS PHYSICAL THERAPIST
Individual
Physical Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9387
1306943444MS. LISA KAY NIKULA C.O.T.A.
Individual
Occupational Therapy Assistant317 KNUTSON DR
MADISON, WI 53704
(608) 310-9379
1851499347 KAREN FERRIS MSPT
Individual
Physical Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9375
1053419416MS. ELANA M DRESEN COTA
Individual
Occupational Therapy Assistant317 KNUTSON DR
MADISON, WI 53704
(608) 301-9379
1073611307 KAREN JUNE KINNAMON OTR
Individual
Occupational Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 310-9383
1407955156MRS. LISA ANN ROESSLER OTR
Individual
Occupational Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9387
1477652576MS. BERLY TEIGEN PTA
Individual
Physical Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9387
1942309927MRS. PAMELA LORRAINE MOE OTR
Individual
Occupational Therapist (Pediatrics)317 KNUTSON DR
MADISON, WI 53704
(608) 301-9378
1740380708MRS. BRENDA SUE SCHMIDT PT
Individual
Physical Therapist (Pediatrics)317 KNUTSON DR
MADISON, WI 53704
(608) 301-9408
1932290277MRS. DIANNE MICHELLE WOOD
Individual
Physical Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9277
1841382066MRS. DIANE FAY KAHL OTR
Individual
Occupational Therapist (Neurorehabilitation)317 KNUTSON DR
MADISON, WI 53704
(608) 301-9378
1750474151MRS. BARBARA SUE KOEHLER OTR
Individual
Occupational Therapist317 KNUTSON DR
MADISON, WI 53704
(608) 301-9393
1972696870 MARIAN HIGBY FREDAL P.T.
Individual
Physical Therapist (Pediatrics)317 KNUTSON DR
MADISON, WI 53704
(608) 301-9378
1740376904MR. JUDITH CHRISTINE SWEERS COTA
Individual
Occupational Therapy Assistant317 KNUTSON DR
MADISON, WI 53704
(608) 301-9381

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821025677, enumerated in the NPI registry as an "individual" on June 27, 2006

The provider is located at 317 Knutson Dr Madison, Wi 53704 and the phone number is (608) 301-9414

The provider's speciality is Psychiatry & Neurology with taxonomy code 2084P0800X with a focus in Psychiatry

The provider might be accepting Accepts: Medicare and Medicaid. 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 $163.24 with an average copayment of $40.81 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on June 27, 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.