Marc Zussman, MD
NPI 1255327326 · Orthopaedic Surgery Physician · Rockford, IL
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Zussman, MD is a Orthopaedic Surgery Physician provider in Rockford, IL (NPI 1255327326).
Provider details
- NPI number
- 1255327326
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036091603 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
350 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) |
|---|---|---|
| X-Ray of Ankle, Minimum of 3 Views73610 | 73 | $33 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 63 | $87 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 37 | $29 |
| X-Ray of Knee, 1-2 Views73560 | 32 | $29 |
| X-Ray of Thigh Bone, Minimum 2 Views73552 | 31 | $31 |
| X-Ray of Hip, 2-3 Views73502 | 26 | $40 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 24 | 18 |
| Tramadol Hcl | 16 | — |
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,482 across 10 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
Registry dates
- Enumerated
- 2005-09-23
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Frequently asked questions
- What is Marc Zussman's NPI number?
- Marc Zussman's National Provider Identifier (NPI) is 1255327326, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Zussman's specialty?
- Marc Zussman is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Marc Zussman located?
- Marc Zussman's practice location on file with NPPES is 324 Roxbury Rd, Rockford, IL 61107-5090.
- What is Marc Zussman's phone number?
- The practice phone number listed in the NPPES registry for Marc Zussman is (815) 398-9491.
- Does Marc Zussman accept Medicare?
- Marc Zussman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Zussman's NPI active?
- Yes — Marc Zussman's NPI (1255327326) is active in the NPPES registry as of the last update on 2023-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.