MARCUS BACON – Physical Therapist, NPI 1821105693

MARCUS BACON is a healthcare provider. based in Berlin, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for MARCUS BACON is 1821105693

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
MARCUS BACON
NPI
1821105693
Phone
(860) 829-5511
Address
1138 FARMINGTON AVE
Enumeration Date
25 August 2006
Last Update Date
23 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
4688758386
Group Practice PAC ID
6800970500
Professional Enrollment ID
I20080219000638
Address ID
CT060372242BE1138XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for MARCUS BACON

  • 1138, Farmington Avenue, Kensington, Berlin, Hartford County, Connecticut, 06037, United States

    P.O. BOX 452

    BERLIN, CT 06037

    Phone: (860) 829-5511

    Mailing address matches the actual address.

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: 2008-02-19

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
I20080219000638IPhysical Therapist In Private PracticeCTTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes17024$0
97140Therapy procedure using manual technique, each 15 minutes11518$0
97162Evaluation for physical therapy, typically 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 06037)

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Provider's Procedures

MARCUS BACON performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCT97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes83373

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: 6800970500View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT

Reviews

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Frequently asked questions

What identifier follows MARCUS BACON across health systems?
The NPI 1821105693 uniquely identifies MARCUS BACON in U.S. healthcare data.
Is MARCUS BACON's NPI status active today?
Active status means MARCUS BACON's NPI record is not deactivated in the public file.
Which specialty label fits MARCUS BACON?
NPPES ties MARCUS BACON to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MARCUS BACON?
The directory associates MARCUS BACON with Berlin, Connecticut. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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