Jonathan Marcus, M.D.
NPI 1255344099 · Neurology Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Marcus, M.D. is a Neurology Physician provider in Rochester, NY (NPI 1255344099).
Provider details
- NPI number
- 1255344099
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 256218 (NY)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
184 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) |
|---|---|---|
| Sleep Study Including Heart Rate, Breathing, and Sleep Time95800 | 57 | $56 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 53 | $96 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 39 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 21 | $67 |
| Sleep Study in Sleep Lab (6 Years Or Older)95810 | 14 | $112 |
Typical Medicare-allowed amounts for these services range $16–$112 (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 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pregabalin | 72 | 13 |
| Gabapentin | 36 | — |
| Methadone Hcl | 34 | — |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphetamine | 24 | — |
| Sodium Oxybate | 24 | — |
| Armodafinil | 20 | — |
| Modafinil | 14 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2023-07-06
Frequently asked questions
- What is Jonathan Marcus's NPI number?
- Jonathan Marcus's National Provider Identifier (NPI) is 1255344099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Marcus's specialty?
- Jonathan Marcus is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Jonathan Marcus located?
- Jonathan Marcus's practice location on file with NPPES is 919 Westfall Rd, Rochester, NY 14618-2627.
- What is Jonathan Marcus's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Marcus is (585) 341-7420.
- Does Jonathan Marcus accept Medicare?
- Jonathan Marcus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Marcus's NPI active?
- Yes — Jonathan Marcus's NPI (1255344099) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.