Marco Frias, MD
NPI 1356993281 · Family Medicine Physician · Binghamton, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marco Frias, MD is a Family Medicine Physician provider in Binghamton, NY (NPI 1356993281).
Provider details
- NPI number
- 1356993281
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 319537 (NY)
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
6 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
562 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 | 300 | $92 |
| 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 | 144 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 53 | $138 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 33 | $125 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity99495 | 20 | $127 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 156 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 528 | 156 |
| Amlodipine Besylate | 382 | 112 |
| Lisinopril | 366 | 102 |
| Losartan Potassium | 280 | 81 |
| Gabapentin | 265 | 64 |
| Levothyroxine Sodium | 263 | 71 |
| Pantoprazole Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,157 across 119 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
- 2019-07-11
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Frequently asked questions
- What is Marco Frias's NPI number?
- Marco Frias's National Provider Identifier (NPI) is 1356993281, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marco Frias's specialty?
- Marco Frias is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Marco Frias located?
- Marco Frias's practice location on file with NPPES is 160 Robinson St, Binghamton, NY 13904-1842.
- What is Marco Frias's phone number?
- The practice phone number listed in the NPPES registry for Marco Frias is (607) 296-2300.
- Does Marco Frias accept Medicare?
- Marco Frias is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marco Frias's NPI active?
- Yes — Marco Frias's NPI (1356993281) is active in the NPPES registry as of the last update on 2022-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.