DR. MARCELLA M. FRANK (DO) – Sleep Medicine (Internal Medicine) Physician, NPI 1083611255
Sleep Medicine (Internal Medicine) Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
632 PULMONARY DISEASE in NJ
Provider Addresses for DR. MARCELLA M. FRANK (DO)
3100 Quakerbridge Rd Ste 2B
Hamilton, NJ 086191658
Phone: (609) 689-7031
Type: Location
PO BOX 8500-9052
SLEEP CENTER
PHILADELPHIA, PA 171789052
Phone: (609) 815-7810
Fax: (609) 815-7814
Type: Mailing
1401 WHITEHOURSE-MERCERVILLE ROAD
SUITE 219
HAMILTON, NJ 086193834
Phone: (609) 584-5150
Fax: (602) 584-5144
Type: Location
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 $55.
Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.
Last reported payment date: 2024-10-26 • Largest payer in this snapshot: ABBVIE INC. ($39).
Total Amount
$55
General + Research + Ownership
Payments
3
Total payment records
General Amount
$55
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $39 |
| Axsome Therapeutics, Inc. | $16 |
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: 2010-03-26
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 |
|---|---|---|---|---|
| I20100326000087 | I | Pulmonary Disease | NJ | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 151 | 120 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 101 | 101 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 78 | 78 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 61 | 59 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 08619)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | NJ | 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 28 | 26 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Critical Care (Intensivists), Pulmonary Disease | NJ | |
| - | NJ | |
| General Surgery | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NJ | |
| General Surgery | NY | |
| General Surgery | NJ |
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