Active NPI
Marcos A Ugarte, MD
- Surgery Physician
- Hanover, PA
National Provider Identifier
1386661155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD052860L
- Practice address
- 401 Allegheny Ave
Hanover, PA 17331-1949 - Phone
- (717) 630-2844
- Fax
- (717) 630-2834
- NPI assigned
- Jul 16, 2006
- Last updated
- Nov 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD052860L | PA | |
| Surgery Physician | 208600000X | MD052860L | PA | Primary |
Addresses
Primary practice location
401 Allegheny Ave
Hanover, PA 17331-1949
Mailing address
401 Allegheny Ave
Hanover, PA 17331-1949
Phone (717) 630-2844
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114970 | Other | PA | UNISON |
| 1519061 | Other | PA | GATEWAY |
| UG439130 | Other | PA | HIGHMARK BLUE SHIELD |
| 01102001 | Other | PA | CAPITAL BLUE CROSS |
| 01482530 | Medicaid | PA | |
| 991821 | Other | PA | KEYSTONE HEALTH PLAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mugarte87118@phsdirect.pinnaclehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Maryland School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
300 Highland Ave
Hanover, PA 17331-2297
Phone (717) 316-3711
401 Allegheny Ave
Hanover, PA 17331-1957
Phone (717) 630-2844
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 76 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 15 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 43 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD052860L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Surgery | Current | Accepting new patients |
| Surgical Anesthesia of Gettysburg LLC | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients | |
| Upmc Hanover | Past | Accepting new patients |
Locations
300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711
401 Allegheny Ave
Hanover, PA 17331
Phone (717) 630-2844
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
Interoperability endpoints
- mugarte19314@upmc.direct-ci.com
Organizations & group practices 6
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.
-
dba UPMC Gastroenterology Associates of Central PA
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
dba UPMC Orthopaedic Care
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1679290688
-
dba PinnacleHealth Endocrinology Associates
- Endocrinology, Diabetes & Metabolism Physician
- Mechanicsburg, PA
- NPI 1518918523
-
- Anesthesiology Physician
- Hanover, PA
- NPI 1073731436
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hanover, PA
- NPI 1730158981
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1265537674
-
- General Acute Care Hospital
- Harrisburg, PA
- NPI 1407813603
-
dba UPMC Pinnacle West Shore
- General Acute Care Hospital
- Mechanicsburg, PA
- NPI 1972613305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1386661155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 ALLEGHENY AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311949",
"telephone_number": "717-630-2844",
"fax_number": "717-630-2834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 ALLEGHENY AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173311949",
"telephone_number": "717-630-2844",
"fax_number": "717-630-2834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UGARTE",
"first_name": "MARCOS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD052860L",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD052860L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "114970",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1519061",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "UG439130",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01102001",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01482530",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN",
"identifier": "991821",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mugarte87118@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "401 Allegheny Ave",
"city": "Hanover",
"state": "PA",
"country_code": "US",
"postal_code": "173311949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.