MARC MCCUEN (PT) – Physical Therapist, NPI 1003430380

MARC MCCUEN (PT) is a healthcare provider. based in Newark, Ohio. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PTL.0017799 (CO). The NPI Number for MARC MCCUEN (PT) is 1003430380

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
MARC MCCUEN (PT)
NPI
1003430380
Phone
(740) 763-0408
Address
11177 LAMBS LN # 11177
Enumeration Date
3 June 2020
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7403452837
Graduation Year
2020 (6 years ago)
PAC ID
1355763715
Group Practice PAC ID
9638073406
Professional Enrollment ID
I20200612001845
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

Provider Addresses for MARC MCCUEN (PT)

  • 11177 LAMBS LN # 11177

    NEWARK, OH 430559779

    Phone: (740) 763-0408

    Fax: (740) 763-0475

    Type: Mailing

  • 159 W MAIN ST

    NEWARK, OH 430555007

    Phone: (740) 345-2837

    Fax: (740) 345-4793

    Type: Location

  • 1750 W 4TH ST

    ONTARIO, OH 449061770

    Phone:

    Type: Mailing

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: 2020-06-12

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
I20200612001845IPhysical Therapist In Private PracticeOHTBD

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
97530Therapy procedure using functional activities6611$0
View full utilization report →

Insurance plans in this area (ZIP 43055)

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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: 9638073406View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What number should I use to identify MARC MCCUEN (PT) for billing?
Administrative and clinical systems typically use NPI 1003430380 for MARC MCCUEN (PT).
Is MARC MCCUEN (PT)'s NPI status active today?
Active status means MARC MCCUEN (PT)'s NPI record is not deactivated in the public file.
Which specialty label fits MARC MCCUEN (PT)?
NPPES ties MARC MCCUEN (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MARC MCCUEN (PT)?
MARC MCCUEN (PT) is associated with Newark, Ohio in the same public data insurers reference.
Who maintains MARC MCCUEN (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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