Marcos Ugarte, MD
NPI 1386661155 · Surgery Physician · Hanover, PA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marcos Ugarte, MD is a Surgery Physician provider in Hanover, PA (NPI 1386661155).
Provider details
- NPI number
- 1386661155
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD052860L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Other Service Providers
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
870 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 208 | $80 |
| New Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 15 Minutes Or More99202 | 78 | $64 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 75 | $69 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 64 | $221 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 45 | $50 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 90 | 22 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 55 | 50 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 25 | 23 |
| Tramadol Hcl | 19 | 17 |
| Cephalexin | 19 | 17 |
| Hydrocortisonebrand: Procto-Med Hc | 13 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include 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 , 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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2023-11-06
- Certified
- 2023-11-06
Frequently asked questions
- What is Marcos Ugarte's NPI number?
- Marcos Ugarte's National Provider Identifier (NPI) is 1386661155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marcos Ugarte's specialty?
- Marcos Ugarte is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Marcos Ugarte located?
- Marcos Ugarte's practice location on file with NPPES is 401 Allegheny Ave, Hanover, PA 17331-1949.
- What is Marcos Ugarte's phone number?
- The practice phone number listed in the NPPES registry for Marcos Ugarte is (717) 630-2844.
- Does Marcos Ugarte accept Medicare?
- Marcos Ugarte is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marcos Ugarte's NPI active?
- Yes — Marcos Ugarte's NPI (1386661155) is active in the NPPES registry as of the last update on 2023-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.