Marco Albornoz, MD
NPI 1255414207 · Rheumatology Physician · Media, PA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marco Albornoz, MD is a Rheumatology Physician provider in Media, PA (NPI 1255414207).
Provider details
- NPI number
- 1255414207
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD040031L (PA)
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
19 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
3,026 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 | 1,423 | $131 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 515 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 292 | $93 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 240 | $15 |
| Aspiration And/Or Injection of Fluid From Small Joint20600 | 178 | $49 |
| Injection Into Tendon Or Ligament20550 | 137 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 48 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 777 | 167 |
| Tramadol Hcl | 460 | 101 |
| Methotrexate Sodiumbrand: Methotrexate | 449 | 122 |
| Gabapentin | 202 | 60 |
| Hydroxychloroquine Sulfate | 198 | 53 |
| Duloxetine Hcl | 141 | 38 |
| Allopurinol | 129 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$470 across 17 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
- 2006-10-23
- Last updated
- 2021-04-23
- Certified
- 2021-04-23
Frequently asked questions
- What is Marco Albornoz's NPI number?
- Marco Albornoz's National Provider Identifier (NPI) is 1255414207, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marco Albornoz's specialty?
- Marco Albornoz is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Marco Albornoz located?
- Marco Albornoz's practice location on file with NPPES is 1088 W Baltimore Pike Ste 2105, Media, PA 19063-5136.
- What is Marco Albornoz's phone number?
- The practice phone number listed in the NPPES registry for Marco Albornoz is (610) 237-5801.
- Does Marco Albornoz accept Medicare?
- Marco Albornoz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marco Albornoz's NPI active?
- Yes — Marco Albornoz's NPI (1255414207) is active in the NPPES registry as of the last update on 2021-04-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.