ANDREW MARINO (M.D.) – Emergency Medicine Physician, NPI 1164682423

ANDREW MARINO (M.D.) is a healthcare provider. based in Southbridge, Massachusetts. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 236789 (MA). The NPI Number for ANDREW MARINO (M.D.) is 1164682423

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW MARINO (M.D.)
NPI
1164682423
Phone
(508) 765-9771
Address
100 SOUTH ST
Enumeration Date
11 June 2008
Last Update Date
1 December 2011

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
5088450127
Graduation Year
2008 (18 years ago)
PAC ID
7618146119
Group Practice PAC ID
5597753251
Professional Enrollment ID
I20110817000315
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for ANDREW MARINO (M.D.)

  • Harrington Hospital, 100, South Street, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States

    SOUTHBRIDGE, MA 015504051

    Phone: (508) 765-9771

    Fax: (508) 764-2448

    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: 2011-08-17

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
I20110817000315IEmergency MedicineMATBD

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
99285Emergency department visit with high level of medical decision making341327$0
99284Emergency department visit with moderate level of medical decision making5352$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2929$0
99291Critical care, first 30-74 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 01550)

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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: 5597753251View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ANDREW MARINO (M.D.) in U.S. healthcare records?
The official identifier for ANDREW MARINO (M.D.) is NPI 1164682423.
Would ANDREW MARINO (M.D.) appear as active to a payer?
You can treat ANDREW MARINO (M.D.) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANDREW MARINO (M.D.)?
ANDREW MARINO (M.D.) is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is ANDREW MARINO (M.D.) located near Southbridge?
ANDREW MARINO (M.D.) currently maps to Southbridge, Massachusetts in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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