DR. PETER A MARCO (M.D.) – Hospitalist Physician, NPI 1013975119

DR. PETER A MARCO (M.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. ME107733 (FL). The NPI Number for DR. PETER A MARCO (M.D.) is 1013975119

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. PETER A MARCO (M.D.)
NPI
1013975119
Phone
(904) 450-6063
Address
4205 BELFORT RD STE 4015
Enumeration Date
1 May 2006
Last Update Date
16 April 2026

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
8507703030
Graduation Year
1989 (37 years ago)
PAC ID
9032254917
Group Practice PAC ID
3779491386
Professional Enrollment ID
I20101209000678
Address ID
FL324054424PA2507XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,173 PULMONARY DISEASE in FL

Provider Addresses for DR. PETER A MARCO (M.D.)

  • 4205 BELFORT RD STE 4015

    JACKSONVILLE, FL 322163623

    Phone: (904) 450-6063

    Fax: (904) 539-4091

    Type: Mailing

  • 615 N BONITA AVE

    PANAMA CITY, FL 324013623

    Phone: (850) 769-1511

    Type: Location

  • North 9th Avenue, Arbor Club Apartments, Pensacola, Escambia County, Florida, 32504, United States

    PENSACOLA, FL 32504

    Phone: (850) 477-9253

    Fax: (850) 494-9843

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($69).

Total Amount

$69

General + Research + Ownership

Payments

3

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-03-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101209000678IPulmonary DiseaseFLTBD
I20210315000463IInternal MedicineORTBD

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
99291Critical care, first 30-74 minutes20399$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5738$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1614$0
View full utilization report →

Insurance plans in this area (ZIP 32216)

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Provider's Procedures

DR. PETER A MARCO (M.D.) performs procedures in PULMONARY DISEASE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PULMONARY DISEASEFL36556Insertion of central venous catheter for infusion, patient 5 years or older1716
PULMONARY DISEASEFL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration6363
PULMONARY DISEASEFL94727Determination of lung volumes using gas dilution or washout4040
PULMONARY DISEASEFL95811Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube8180

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: 3779491386View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. PETER A MARCO (M.D.)'s NPI?
You can confirm DR. PETER A MARCO (M.D.) with NPI 1013975119; it appears in the national provider directory.
Is DR. PETER A MARCO (M.D.) active in the national directory?
DR. PETER A MARCO (M.D.)'s public NPI profile is in an active state.
What does DR. PETER A MARCO (M.D.) treat or focus on?
Patients typically see DR. PETER A MARCO (M.D.) under the specialty Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. PETER A MARCO (M.D.)?
The page summarizes Jacksonville, Florida for DR. PETER A MARCO (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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