MARC INGERMAN – Surgical Physician Assistant, NPI 1689047995

MARC INGERMAN is a healthcare provider. based in Middlebury, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold a License No. 3471 (CT). The NPI Number for MARC INGERMAN is 1689047995

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MARC INGERMAN
NPI
1689047995
Phone
(203) 757-8361
Address
1579 Straits Tpke
Enumeration Date
9 November 2015
Last Update Date
23 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
8123326022
Group Practice PAC ID
6406198506
Professional Enrollment ID
I20201123002936
Address ID
NY106014607WH41XXXRDXX410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MARC INGERMAN

  • 1579 Straits Tpke

    Suite 2A

    Middlebury, CT 067621835

    Phone: (203) 757-8361

    Fax: (203) 754-9126

    Type: Location

  • 34 MAPLE ST

    NORWALK, CT 068503815

    Phone: (203) 852-2188

    Fax: (203) 899-5069

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-11-23

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
I20201123002936IPhysician AssistantNYTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes130126$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
99284Emergency department visit with moderate level of medical decision making1212$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 06762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406198506View full group profile
NameSpecialtyState
Emergency Medicine, Sports MedicineNC
-NY
Internal MedicineNY
Certified Clinical Nurse Specialist (Cns)NY
Physician AssistantNY
Diagnostic RadiologyNY
Physician AssistantNY
Emergency MedicineNY
Hospitalist, Internal MedicineNY
Diagnostic RadiologyNY

Reviews

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Frequently asked questions

Where can patients find MARC INGERMAN's NPI?
You can confirm MARC INGERMAN with NPI 1689047995; it appears in the national provider directory.
Does this profile mean MARC INGERMAN is currently active?
Yes — MARC INGERMAN appears active in the national provider directory.
What kind of provider is MARC INGERMAN?
The page reflects Surgical Physician Assistant for MARC INGERMAN. Clinical services aligned with this taxonomy classification.
What location shows for MARC INGERMAN?
We surface Middlebury, Connecticut for MARC INGERMAN based on available NPPES addresses.
Is MARC INGERMAN a real provider?
This page reflects official NPPES data for NPI 1689047995. Always confirm identity and privileges with the practice and licensing boards.

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