Marc Fagelson, PH.D., CCC-A
NPI 1760413116 · Audiologist · Johnson City, TN
Enrolled with Medicare as Practitioner - Qualified Audiologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marc Fagelson, PH.D., CCC-A is a Audiologist provider in Johnson City, TN (NPI 1760413116).
Provider details
- NPI number
- 1760413116
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- PH.D., CCC-A
- Sex
- Male
- Sole proprietor
- No
- License
- 0000001136 (TN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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.
Practice location
Mailing address
Additional practice locations (3)
- 1000 Jason Witten WayElizabethton, TN 37643-2970Phone: (423) 439-4355Fax: (423) 543-0581
- 807 University PkwyEtsu Campus Lamb Hall Room 361Johnson City, TN 37614-1702Phone: (423) 439-4515Fax: (423) 439-4607
- 2151 Century LaneJohnson City, TN 37604-4469Phone: (423) 926-2500Fax: (423) 926-5999
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Frequently asked questions
- What is Marc Fagelson's NPI number?
- Marc Fagelson's National Provider Identifier (NPI) is 1760413116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marc Fagelson's specialty?
- Marc Fagelson is listed in the NPPES registry with a primary specialty of Audiologist (Speech, Language and Hearing Service Providers).
- Where is Marc Fagelson located?
- Marc Fagelson's practice location on file with NPPES is 156 S. Dossett Drive, Johnson City, TN 37614.
- What is Marc Fagelson's phone number?
- The practice phone number listed in the NPPES registry for Marc Fagelson is (423) 439-4355.
- Does Marc Fagelson accept Medicare?
- Marc Fagelson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marc Fagelson's NPI active?
- Yes — Marc Fagelson's NPI (1760413116) is active in the NPPES registry as of the last update on 2024-01-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.