MARC T CAMPOS (PA-C) – Medical Physician Assistant, NPI 1336589241
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MARC T CAMPOS (PA-C)
1103 N BALDWIN AVENUE
MARION, IN 469522536
Phone: (765) 660-7480
Fax: (765) 382-4495
Type: Location
326 Washington St
Norwich, CT 063602740
Phone: (860) 889-8331
Type: Location
12 Lathrop Rd
Plainfield, CT 063742061
Phone: (860) 457-9191
Type: Location
330 N WABASH
G20
MARION, IN 469522600
Phone: (765) 660-7600
Fax: (765) 651-7313
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $34.
Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.
Last reported payment date: 2023-09-08 • Largest payer in this snapshot: PFIZER INC. ($34).
Total Amount
$34
General + Research + Ownership
Payments
2
Total payment records
General Amount
$34
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $34 |
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: 2019-02-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190213000104 | I | Physician Assistant | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 88 | 87 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 81 | 81 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 46952)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| Emergency Medicine | RI | |
| P S Y C H I A T R Y | MA | |
| Hematology/Oncology, Medical Oncology | NJ | |
| Physician Assistant | ME | |
| Hospitalist, Internal Medicine | NY | |
| Physician Assistant | CT | |
| Physician Assistant | GA | |
| Internal Medicine | CT | |
| Physician Assistant | RI |
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