Marc Lafonte, M.D.
NPI 1043535180 · Surgical Critical Care Physician · New Brunswick, NJ
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Lafonte, M.D. is a Surgical Critical Care Physician provider in New Brunswick, NJ (NPI 1043535180).
Provider details
- NPI number
- 1043535180
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10141900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
615 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 351 | $224 |
| Critical Care, Each Additional 30 Minutes99292 | 203 | $113 |
| Telehealth Consultation, Critical Care, Subsequent, Physicians Typically Spend 50 Minutes Communicating With the Patient and Providers Via TelehealthG0509 | 30 | $201 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 17 | $126 |
| Insertion of Non-Tunneled Central Venous Tube for Infusion (5 Years Or Older)36556 | 14 | $88 |
Typical Medicare-allowed amounts for these services range $88–$224 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 593 Eddy StDepartment of Surgical Critical CareProvidence, RI 02903-4923Phone: (401) 444-4000
Registry dates
- Enumerated
- 2010-04-01
- Last updated
- 2021-07-23
- Certified
- 2021-07-23
Frequently asked questions
- What is Marc Lafonte's NPI number?
- Marc Lafonte's National Provider Identifier (NPI) is 1043535180, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Lafonte's specialty?
- Marc Lafonte is listed in the NPPES registry with a primary specialty of Surgical Critical Care Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Lafonte located?
- Marc Lafonte's practice location on file with NPPES is 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928.
- What is Marc Lafonte's phone number?
- The practice phone number listed in the NPPES registry for Marc Lafonte is (732) 828-3000.
- Does Marc Lafonte accept Medicare?
- Marc Lafonte is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Lafonte's NPI active?
- Yes — Marc Lafonte's NPI (1043535180) is active in the NPPES registry as of the last update on 2021-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.