Individual provider Active NPI

Zantha Christine Marcuson, MD

  • MOHS-Micrographic Surgery Physician
  • Williamsburg, VA
National Provider Identifier
1174626600
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
0101055502 Issued in VA
Practice address
1601 Commonwealth Ave
Williamsburg, VA 23185-5125
Phone
(757) 259-9466
Fax
(757) 259-7907
NPI assigned
Sep 7, 2006
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101055502 VA
MOHS-Micrographic Surgery Physician 207ND0101X 0101055502 VA Primary

Addresses

Primary practice location

1601 Commonwealth Ave
Williamsburg, VA 23185-5125

Mailing address

11844 Rock Landing Dr Ste B
Newport News, VA 23606-4206
Phone (757) 873-0161

Other identifiers 1

IdentifierTypeStateIssuer
5901065MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmarcuson@directaddress.net Oyster Point Dermatology Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220001158 VA Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 3779679519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Dermatology Skin Cancer Surgery Center, IncGroup PAC ID 4486749223, 10 clinicians

Practice addresses (Care Compare)

11844 Rock Landing Dr
Suite B
Newport News, VA 23606-4202
Phone (757) 873-0161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision415
Removal of tissue1-10
Removal of skin lesions508
Removal of skin cancer1257
Removal or shaving of skin growth1-10
Skin biopsy262

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Dermatology Skin Cancer Surgery Center, Inc Dermatology CurrentSince Aug 1, 1998 Accepting new patients
Peninsula Dermatology Skin Cancer Surgery Center, Inc Dermatology CurrentSince May 12, 2024 Accepting new patients

Locations

11844 Rock Landing Dr
Ste B
Newport News, VA 23606
Phone (757) 534-5050

895 City Center Blvd
Ste 302
Newport News, VA 23606
Phone (757) 259-9466

1601 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 259-9466

475 McLaws Cir
Ste 1
Williamsburg, VA 23185
Phone (757) 259-9466

Interoperability endpoints

  • Direct secure messaging: cmarcuson@directaddress.net
  • Direct secure messaging: cmarcuson@peninsuladerm.emadirect.md

Organizations & group practices 2

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

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": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1174626600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11844 ROCK LANDING DR STE B",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064206",
            "telephone_number": "757-873-0161",
            "fax_number": "757-873-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 COMMONWEALTH AVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855125",
            "telephone_number": "757-259-9466",
            "fax_number": "757-259-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUSON",
        "first_name": "ZANTHA",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101055502",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101055502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901065",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmarcuson@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "Oyster Point Dermatology Inc",
            "address_1": "475 McLaws Circle",
            "address_2": "Suite 1",
            "city": "Williamsburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "23185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.