NPIMap

Individual provider Active NPI

Marcus C Bethea III, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Norfolk, VA
National Provider Identifier
1659308773
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101262102 Issued in VA
Practice address
600 Gresham Dr
Pathology Department
Norfolk, VA 23507-1904
Phone
(757) 388-3221
NPI assigned
Jun 26, 2006
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101262102 VA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2017-00283 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME0071774 FL

Addresses

Primary practice location

600 Gresham Dr
Pathology Department
Norfolk, VA 23507-1904

Mailing address

4619 Kenny Rd
Suite C
Columbus, OH 43220-2779
Phone (614) 457-8180

Other identifiers 1

IdentifierTypeStateIssuer
251894500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170404000558 NC Practitioner - Pathology 9739143447 Reassigns benefits to 1 organization
I20170428001351 VA Practitioner - Pathology 9739143447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical University of South Carolina College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Sciences Medical Group PCGroup PAC ID 7315840261, 26 clinicians

Practice addresses (Care Compare)

1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (252) 384-4763

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 668-2287

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.22 of 100Reported as group
Quality
100
Improvement activities
40
Cost
84.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0071774FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Sciences Medical Group, PC Anatomic Pathology & Clinical Pathology CurrentSince Apr 1, 2017 Accepting new patients
Central Florida Urology Associates Past Accepting new patients
Central Florida Pathologists Laboratory Inc PastSince Feb 1, 1990 Accepting new patients
Santiago W Calderon MD PA Past Accepting new patients

Locations

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

3000 Coliseum Dr
Hampton, VA 23666
Phone (757) 736-1000

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

3920 Bridge Rd
Suffolk, VA 23435
Phone (757) 983-0000

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

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 8

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1659308773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 KENNY RD",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202779",
            "telephone_number": "614-457-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "address_2": "PATHOLOGY DEPARTMENT",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETHEA",
        "first_name": "MARCUS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101262102",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2017-00283",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME0071774",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251894500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.