Sonia Marcello, DO
NPI 1528695699 · Family Medicine Physician · Worcester, MA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sonia Marcello, DO is a Family Medicine Physician provider in Worcester, MA (NPI 1528695699).
Provider details
- NPI number
- 1528695699
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 1014921 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
6 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
336 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 206 | $73 |
| 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 | 52 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 38 | $58 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 24 | $68 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity99495 | 16 | $91 |
Typical Medicare-allowed amounts for these services range $16–$91 (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 · 38 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 85 | 34 |
| Lisinopril | 76 | 27 |
| Amlodipine Besylate | 60 | 23 |
| Levothyroxine Sodium | 56 | 15 |
| Gabapentin | 53 | 11 |
| Hydrochlorothiazide | 43 | 18 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-03-26
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Frequently asked questions
- What is Sonia Marcello's NPI number?
- Sonia Marcello's National Provider Identifier (NPI) is 1528695699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sonia Marcello's specialty?
- Sonia Marcello is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Sonia Marcello located?
- Sonia Marcello's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is Sonia Marcello's phone number?
- The practice phone number listed in the NPPES registry for Sonia Marcello is (508) 334-2818.
- Does Sonia Marcello accept Medicare?
- Sonia Marcello is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sonia Marcello's NPI active?
- Yes — Sonia Marcello's NPI (1528695699) is active in the NPPES registry as of the last update on 2023-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.