Individual provider Active NPI

Peter A Marco, M.D.

  • Hospitalist Physician
  • Panama City, FL
National Provider Identifier
1013975119
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
ME107733 Issued in FL
Practice address
615 N Bonita Ave
Panama City, FL 32401-3623
Phone
(850) 769-1511
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME107733 FL
Hospitalist Physician 208M00000X ME107733 FL Primary

Addresses

Primary practice location

615 N Bonita Ave
Panama City, FL 32401-3623

Mailing address

4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6063

Other identifiers 2

IdentifierTypeStateIssuer
G72937OtherCACALIFORNIA STATE LICENSE
ME107733OtherFLFLORIDA STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101209000678 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 9032254917 Reassigns benefits to 5 organizations
I20210315000463 OR Practitioner - Internal Medicine 9032254917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Saint Louis University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

2507 Harrison Ave
Panama City, FL 32405-4424
Phone (850) 770-3030

Hospital & facility affiliations

  • Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME107733FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Sacred Heart Health System Inc CurrentSince Aug 1, 2022 Accepting new patients
Hni Hospital Services of Florida, LLC Critical Care Medicine CurrentSince Mar 15, 2022 Accepting new patients
Pensacola Lung Group, M.D.'S, P.a. CurrentSince Aug 22, 2010 Accepting new patients
St Vincents Ambulatory Care Inc Pulmonary Disease CurrentSince Aug 23, 2024 Accepting new patients
McKenzie Physician Services LLC CurrentSince Jan 11, 2021 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince Aug 23, 2024 Accepting new patients
Vip Specialties of Florida Pulmonary Disease CurrentSince Jan 6, 2026 Accepting new patients

Locations

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

615 N Bonita Ave
Panama City, FL 32401
Phone (850) 747-2020

2507 Harrison Ave
Panama City, FL 32405
Phone (850) 215-5911

4700 Bayou Blvd
Ste 6
Pensacola, FL 32503
Phone 8504779253 ext. 4616

1545 Airport Blvd
#2000
Pensacola, FL 32504
Phone (850) 416-6933

1750 Thompson Rd
Coos Bay, OR 97420
Phone (541) 269-0333

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCBCDD/Endpoint/HCBCDD
  • Direct secure messaging: pmarco@yourcarecommunity.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1013975119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 BELFORT RD STE 4015",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322163623",
            "telephone_number": "904-450-6063",
            "fax_number": "904-539-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N BONITA AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013623",
            "telephone_number": "850-769-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCO",
        "first_name": "PETER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME107733",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME107733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE LICENSE",
            "identifier": "G72937",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "ME107733",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

Verify at the official NPI Registry.