ROY G. MARCUS (M.D.) – Nephrology Physician, NPI 1245278084
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
738 NEPHROLOGY in PA
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Provider Addresses for ROY G. MARCUS (M.D.)
Medical Center Boulevard, Upland, Delaware County, Pennsylvania, 19013, United States
SUITE 303
UPLAND, PA 190133955
Phone: (610) 872-8501
Fax: (610) 872-5188
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)
CMS reports 2 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Amgen Inc. ($131).
Total Amount
$240
General + Research + Ownership
Payments
2
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amgen Inc. | $131 |
| Bayer Healthcare Pharmaceuticals Inc. | $108 |
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: 2011-04-07
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 |
|---|---|---|---|---|
| I20110407000878 | I | Nephrology | PA | 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 |
|---|---|---|---|---|
| 90960 | Dialysis services, 4 or more physician visits per month (20 years or older) | 162 | 46 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 29 | $0 |
| 90961 | Dialysis services, 2-3 physician visits per month (20 years or older) | 35 | 23 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 13 | 13 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 19013)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | PA | |
| Physician Assistant | PA | |
| - | PA | |
| Physician Assistant | PA | |
| N E P H R O L O G Y | PA | |
| Nephrology, Internal Medicine | PA | |
| Nephrology, Internal Medicine | PA | |
| - | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA |
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