PHILIP CHARLES MARIN (MD) – Plastic Surgery Physician, NPI 1205868544

PHILIP CHARLES MARIN (MD) is a healthcare provider. based in Pueblo, Colorado. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, HAND SURGERY. They hold the professional credentials MD. They hold a License No. 0040500 (CO). The NPI Number for PHILIP CHARLES MARIN (MD) is 1205868544

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP CHARLES MARIN (MD)
NPI
1205868544
Phone
(719) 669-8487
Address
1304 N GRAND AVE
Enumeration Date
7 July 2006
Last Update Date
5 April 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
7196698487
Graduation Year
1994 (32 years ago)
PAC ID
0941249635
Professional Enrollment ID
I20050509000188
Address ID
CO810032718PU1304XAVEX400

Contacts

Main Contact
Symplast
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

113 PLASTIC AND RECONSTRUCTIVE SURGERY in CO

Provider Addresses for PHILIP CHARLES MARIN (MD)

  • 1304 N GRAND AVE

    PUEBLO, CO 810032718

    Phone: (719) 669-8487

    Fax: (719) 669-8488

    Type: Location

  • 650, Dittmer Avenue, Aberdeen, Pueblo, Pueblo County, Colorado, 81005, United States

    PUEBLO, CO 810051212

    Phone: (719) 565-1000

    Fax: (719) 565-1111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $645.

Total Amount is formed as General ($645) + Research ($0) + Ownership ($0) = $645.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: ABBVIE INC. ($645).

Total Amount

$645

General + Research + Ownership

Payments

12

Total payment records

General Amount

$645

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$645
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050509000188IPlastic And Reconstructive SurgeryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes268189$0
99203New patient office or other outpatient visit, 30-44 minutes122122$0
20550Injection into tendon or ligament10977$0
20600Aspiration and/or injection of fluid from small joint6240$0
29848Release of wrist ligament using an endoscope4535$0
View full utilization report →

Insurance plans in this area (ZIP 81003)

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Provider's Procedures

PHILIP CHARLES MARIN (MD) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYCO14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1612
PLASTIC AND RECONSTRUCTIVE SURGERYCO73110X-ray of wrist, minimum of 3 views9087
PLASTIC AND RECONSTRUCTIVE SURGERYCO73140X-ray of fingers, minimum of 2 views2827

Reviews

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Frequently asked questions

What unique ID ties claims to PHILIP CHARLES MARIN (MD)?
NPI 1205868544 is assigned to PHILIP CHARLES MARIN (MD) under the national enumeration system.
Is PHILIP CHARLES MARIN (MD) currently active in the NPI registry?
CMS-published data lists PHILIP CHARLES MARIN (MD) as an active registrant.
Can you summarize PHILIP CHARLES MARIN (MD)'s specialty in plain language?
Clinically, the directory lists PHILIP CHARLES MARIN (MD) with Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Does PHILIP CHARLES MARIN (MD) practice in Colorado?
You will see Pueblo, Colorado on file for PHILIP CHARLES MARIN (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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