Carolina Marcus, MD
NPI 1902812738 · Allergy & Immunology Physician · Rochester, NY
Enrolled with Medicare as Practitioner - Sleep Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carolina Marcus, MD is a Allergy & Immunology Physician provider in Rochester, NY (NPI 1902812738).
Provider details
- NPI number
- 1902812738
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 253830 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 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
224 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 | 85 | $95 |
| Sleep Study Including Heart Rate, Breathing, and Sleep Time95800 | 60 | $37 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $72 |
| Sleep Study in Sleep Lab (6 Years Or Older)95810 | 23 | $112 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 | 15 | $116 |
Typical Medicare-allowed amounts for these services range $37–$116 (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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Pregabalin | 57 | 13 |
| Clonazepam | 50 | — |
| Trazodone Hcl | 36 | — |
| Armodafinil | 33 | — |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphetamine | 22 | — |
| Zolpidem Tartrate | 16 | — |
| Quetiapine Fumarate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$6,055 across 9 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
- 2006-08-01
- Last updated
- 2023-07-06
Frequently asked questions
- What is Carolina Marcus's NPI number?
- Carolina Marcus's National Provider Identifier (NPI) is 1902812738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carolina Marcus's specialty?
- Carolina Marcus is listed in the NPPES registry with a primary specialty of Allergy & Immunology Physician (Allopathic & Osteopathic Physicians).
- Where is Carolina Marcus located?
- Carolina Marcus's practice location on file with NPPES is 2337 Clinton Ave S, Rochester, NY 14618-2645.
- What is Carolina Marcus's phone number?
- The practice phone number listed in the NPPES registry for Carolina Marcus is (305) 588-7916.
- Does Carolina Marcus accept Medicare?
- Carolina Marcus is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carolina Marcus's NPI active?
- Yes — Carolina Marcus's NPI (1902812738) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.