Marcia Brumbaugh, PHD
NPI 1154654390 · Psychologist · Kinston, NC
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcia Brumbaugh, PHD is a Psychologist provider in Kinston, NC (NPI 1154654390).
Provider details
- NPI number
- 1154654390
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- 0810005329 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
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
305 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) |
|---|---|---|
| Psychotherapy, 1 Hour90837 | 85 | $146 |
| Psychiatric Diagnostic Evaluation90791 | 72 | $142 |
| Psychotherapy, 30 Minutes90832 | 64 | $66 |
| Psychotherapy, 45 Minutes90834 | 41 | $99 |
| Assessment of Health Behavior96156 | 25 | $84 |
| Psychotherapy, 45 Minutes90834 | 18 | $87 |
Typical Medicare-allowed amounts for these services range $66–$146 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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)
- 11059 E Bethany DrSuite 200Aurora, CO 80014-2622Phone: (303) 617-2300Fax: (303) 617-2397
Registry dates
- Enumerated
- 2009-09-04
- Last updated
- 2022-10-24
- Certified
- 2022-10-24
Frequently asked questions
- What is Marcia Brumbaugh's NPI number?
- Marcia Brumbaugh's National Provider Identifier (NPI) is 1154654390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcia Brumbaugh's specialty?
- Marcia Brumbaugh is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Marcia Brumbaugh located?
- Marcia Brumbaugh's practice location on file with NPPES is 2415 W Vernon Ave, Kinston, NC 28504-3337.
- What is Marcia Brumbaugh's phone number?
- The practice phone number listed in the NPPES registry for Marcia Brumbaugh is (252) 208-3877.
- Does Marcia Brumbaugh accept Medicare?
- Marcia Brumbaugh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcia Brumbaugh's NPI active?
- Yes — Marcia Brumbaugh's NPI (1154654390) is active in the NPPES registry as of the last update on 2022-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.