Marcelo Venegas Pizarro, MD
NPI 1245431204 · Internal Medicine Physician · Jackson Heights, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcelo Venegas Pizarro, MD is a Internal Medicine Physician provider in Jackson Heights, NY (NPI 1245431204).
Provider details
- NPI number
- 1245431204
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA10113500 (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 tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
195 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 60 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $102 |
| Detection Test By Immunoassay Technique for Severe Acute Respiratory Syndrome Coronavirus and Influenza87428 | 32 | $69 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 24 | $8 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 21 | $127 |
Typical Medicare-allowed amounts for these services range $8–$127 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 71 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Doxycycline Hyclate | 175 | 142 |
| Prednisone | 163 | 110 |
| Pravastatin Sodium | 102 | 13 |
| Cefdinir | 99 | 93 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 95 | 57 |
| Trazodone Hcl | 92 | 11 |
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 90 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$15,348 across 51 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 231 Washington StHoboken, NJ 07030-4738Phone: (201) 754-1006Fax: (201) 754-1005
Registry dates
- Enumerated
- 2007-05-29
- Last updated
- 2019-07-24
Frequently asked questions
- What is Marcelo Venegas Pizarro's NPI number?
- Marcelo Venegas Pizarro's National Provider Identifier (NPI) is 1245431204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcelo Venegas Pizarro's specialty?
- Marcelo Venegas Pizarro is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marcelo Venegas Pizarro located?
- Marcelo Venegas Pizarro's practice location on file with NPPES is 7302 Roosevelt Ave, Jackson Heights, NY 11372-6336.
- What is Marcelo Venegas Pizarro's phone number?
- The practice phone number listed in the NPPES registry for Marcelo Venegas Pizarro is (718) 475-2351.
- Does Marcelo Venegas Pizarro accept Medicare?
- Marcelo Venegas Pizarro is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcelo Venegas Pizarro's NPI active?
- Yes — Marcelo Venegas Pizarro's NPI (1245431204) is active in the NPPES registry as of the last update on 2019-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.