Marcus Alpert, MD
NPI 1205327194 · Pulmonary Disease Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcus Alpert, MD is a Pulmonary Disease Physician provider in Worcester, MA (NPI 1205327194).
Provider details
- NPI number
- 1205327194
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1020610 (MA)
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
8 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
14 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 14 | $143 |
Typical Medicare-allowed amounts for these services range $143–$143 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 39 |
| Dupilumabbrand: Dupixent Pen | 30 |
| Fluticasone Propionate | 27 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 23 |
| Budesonide/Formoterol Fumaratebrand: Budesonide-Formoterol Fumarate | 13 |
| Azithromycin | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 119 Belmont StWorcester, MA 01605-2903Phone: (508) 334-1975
Registry dates
- Enumerated
- 2018-05-25
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Frequently asked questions
- What is Marcus Alpert's NPI number?
- Marcus Alpert's National Provider Identifier (NPI) is 1205327194, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcus Alpert's specialty?
- Marcus Alpert is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Marcus Alpert located?
- Marcus Alpert's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Marcus Alpert's phone number?
- The practice phone number listed in the NPPES registry for Marcus Alpert is (508) 334-1975.
- Does Marcus Alpert accept Medicare?
- Marcus Alpert is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcus Alpert's NPI active?
- Yes — Marcus Alpert's NPI (1205327194) is active in the NPPES registry as of the last update on 2024-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.