Individual provider Active NPI

Donald Ray Marecle, M.D.

  • Surgery Physician
  • Cullman, AL
National Provider Identifier
1285600759
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9759 Issued in AL
Practice address
212 4TH Ave SE
Suite 100
Cullman, AL 35055-3673
Phone
(256) 739-6050
Fax
(256) 739-4921
NPI assigned
Feb 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9759 AL Primary
Surgery Physician 208600000X 09303 MS

Addresses

Primary practice location

212 4TH Ave SE
Suite 100
Cullman, AL 35055-3673

Mailing address

212 4TH Ave SE
Suite 100
Cullman, AL 35055-3673
Phone (256) 739-6050

Other identifiers 2

IdentifierTypeStateIssuer
529702820MedicaidAL
51035588OtherALBLUE CROSS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000221 AL Practitioner - General Surgery 3274716691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Mississippi School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

212 4TH Ave SE
Suite 100
Cullman, AL 35055-3662
Phone (256) 739-6050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
43.33 of 100Reported as individual
Quality
33.33
Improvement activities
0
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy153
Hernia repair - groin (open)12
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux86
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Organizations & group practices 1

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1285600759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 4TH AVE SE",
            "address_2": "SUITE 100",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553673",
            "telephone_number": "256-739-6050",
            "fax_number": "256-739-4921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 4TH AVE SE",
            "address_2": "SUITE 100",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553673",
            "telephone_number": "256-739-6050",
            "fax_number": "256-739-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARECLE",
        "first_name": "DONALD",
        "middle_name": "RAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "9759",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "09303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529702820",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "51035588",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.