Kristin Marcous, PA
NPI 1801015854 · Gastroenterology Physician · Hartford, CT
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristin Marcous, PA is a Gastroenterology Physician provider in Hartford, CT (NPI 1801015854).
Provider details
- NPI number
- 1801015854
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 001821 (CT)
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
155 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 77 | $69 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 39 | $114 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 25 | $100 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 14 | $78 |
Typical Medicare-allowed amounts for these services range $69–$114 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pantoprazole Sodium | 59 | 30 |
| Omeprazole | 58 | 24 |
| Famotidine | 36 | 17 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 35 | 35 |
| Esomeprazole Magnesium | 21 | 11 |
| Dicyclomine Hcl | 17 | — |
| Diphenoxylate Hcl/Atropinebrand: Diphenoxylate-Atropine | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,681 across 41 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
- 2007-04-25
- Last updated
- 2011-04-29
Frequently asked questions
- What is Kristin Marcous's NPI number?
- Kristin Marcous's National Provider Identifier (NPI) is 1801015854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristin Marcous's specialty?
- Kristin Marcous is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Kristin Marcous located?
- Kristin Marcous's practice location on file with NPPES is 85 Seymour St, Hartford, CT 06106-5501.
- What is Kristin Marcous's phone number?
- The practice phone number listed in the NPPES registry for Kristin Marcous is (860) 246-2571.
- Does Kristin Marcous accept Medicare?
- Kristin Marcous is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristin Marcous's NPI active?
- Yes — Kristin Marcous's NPI (1801015854) is active in the NPPES registry as of the last update on 2011-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.