Active NPI 1730140864 Individual Practitioner Male Practitioner

Dr. David A Marcoux , MD

Internal Medicine • Pawtucket, RI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Marcoux, MD is a certified Internal Medicine practicing in Pawtucket, RI. With approximately 38 years of clinical experience since graduating from Medical College Of Wisconsin in 1988, Dr. Marcoux delivers high-quality medical care to the local community at 407 EAST AVE STE 110.

Dr. Marcoux maintains professional affiliations with Brown Medicine, Rhode Island Hospital, University Internal Medicine,Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

407 East Ave Ste 110

Pawtucket, RI 028605299

Telephone 4017254739

Fax 4017254740

Associated Practice Facility / Clinic

🏢 University Internal Medicine,inc Facility NPI 1669507133

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pawtucket, RI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +10.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

42 Specialists

Practicing in Pawtucket, RI (1079 Statewide)

Telehealth Adoption Rate

21.4% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

53.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Marcoux (38 Years) 38 Yrs

Pawtucket Specialty Average (27.3 Years) 27.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	382	247	$300.00	$86.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$200.00	$43.41
83036 Hemoglobin A1C level	83	66	$25.00	$9.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	69	$250.00	$78.11
93000 Routine ekg using at least 12 leads including interpretation and report	63	61	$75.00	$14.45
90662 Influenza vaccine split virus, preservative free	51	48	$0.01	$0.01
G0008 Administration of influenza virus vaccine	49	48	$37.55	$31.88
G0444 Annual depression screening, 5 to 15 minutes	45	45	$25.00	$19.14
90480 Admn sarscov2 vacc 1 dose	39	36	$48.46	$42.49
91320 Sarscv2 vac 30mcg trs-suc im	39	36	$0.01	$0.01
82270 Stool analysis for blood to screen for colon tumors	34	34	$12.00	$4.29
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$210.00	$65.27
82570 Creatinine level to test for kidney function or muscle injury	21	20	$15.00	$5.08
82044 Urine microalbumin (protein) analysis	21	20	$15.00	$6.11
20610 Aspiration and/or injection of fluid from large joint	17	12	$135.00	$65.34
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$150.00	$128.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$200.00	$165.92
99441 Telephone medical discussion with physician, 5-10 minutes	11	11	$100.00	$56.79
17000 Destruction of skin growth	11	11	$125.00	$68.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	383	256	$300.00	$84.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	240	$200.00	$44.16
83036 Hemoglobin A1C level	83	60	$25.00	$9.52
93000 Routine ekg using at least 12 leads including interpretation and report	69	66	$75.00	$14.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$250.00	$78.46
G0008 Administration of influenza virus vaccine	53	53	$30.00	$29.40
90662 Influenza vaccine split virus, preservative free	53	53	$0.01	$0.01
82270 Stool analysis for blood to screen for colon tumors	46	46	$12.00	$4.29
G0444 Annual depression screening, 5 to 15 minutes	43	43	$25.00	$18.90
82044 Urine microalbumin (protein) analysis	33	30	$15.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	33	30	$15.00	$5.08
17000 Destruction of skin growth	19	19	$125.00	$67.57
99441 Telephone medical discussion with physician, 5-10 minutes	18	17	$100.00	$57.48
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$125.00	$92.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$301.00	$98.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	341	216	$300.00	$91.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	253	253	$200.00	$45.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	103	$250.00	$71.71
83036 Hemoglobin A1C level	99	75	$25.00	$9.51
G0008 Administration of influenza virus vaccine	77	74	$30.00	$29.46
90662 Influenza vaccine split virus, preservative free	69	66	$0.01	$0.01
82270 Stool analysis for blood to screen for colon tumors	59	59	$12.00	$4.33
93000 Routine ekg using at least 12 leads including interpretation and report	55	53	$75.00	$14.92
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$175.77	$59.53
99441 Telephone medical discussion with physician, 5-10 minutes	47	40	$100.00	$57.50
82044 Urine microalbumin (protein) analysis	42	42	$15.00	$6.17
82570 Creatinine level to test for kidney function or muscle injury	42	42	$15.00	$5.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	25	$303.29	$100.62
G0444 Annual depression screening, 5 to 15 minutes	24	24	$25.00	$19.18
G0009 Administration of pneumococcal vaccine	19	18	$30.00	$29.68
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$125.00	$94.08
99495 Transitional care management services for problem of at least moderate complexity	12	11	$250.00	$95.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$208.18	$149.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	320	214	$300.00	$140.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	263	263	$200.00	$137.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	156	$250.00	$107.84
83036 Hemoglobin A1C level	143	101	$25.00	$9.71
G0008 Administration of influenza virus vaccine	80	80	$30.00	$17.73
90662 Influenza vaccine split virus, preservative free	73	73	$0.01	$0.01
93000 Routine ekg using at least 12 leads including interpretation and report	68	61	$75.00	$15.52
82270 Stool analysis for blood to screen for colon tumors	67	67	$12.00	$4.31
99213 Established patient office or other outpatient visit, typically 15 minutes	56	51	$175.00	$74.99
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	54	40	$98.61	$34.41
82570 Creatinine level to test for kidney function or muscle injury	31	30	$15.00	$5.18
82044 Urine microalbumin (protein) analysis	31	30	$15.00	$6.23
G0444 Annual depression screening, 5 to 15 minutes	24	24	$25.00	$19.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$264.20	$103.18
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$197.45	$69.85
20610 Aspiration and/or injection of fluid from large joint	18	15	$142.50	$69.58
17000 Destruction of skin growth	16	15	$125.00	$69.88
99496 Transitional care management services for problem of high complexity	13	13	$300.00	$291.00
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$147.73	$134.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	232	$250.06	$85.56
99213 Established patient office or other outpatient visit, typically 15 minutes	274	212	$175.42	$60.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$200.33	$120.26
83036 Hemoglobin A1C level	137	95	$25.00	$9.43
93000 Routine ekg using at least 12 leads including interpretation and report	97	94	$75.00	$17.92
99441 Telephone medical discussion with physician, 5-10 minutes	85	70	$58.53	$47.75
G0008 Administration of influenza virus vaccine	84	81	$30.00	$17.38
82270 Stool analysis for blood to screen for colon tumors	82	82	$12.00	$4.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	51	$300.00	$113.92
90662 Influenza vaccine split virus, preservative free	56	56	$0.01	$0.01
82570 Creatinine level to test for kidney function or muscle injury	42	41	$15.00	$5.14
82044 Urine microalbumin (protein) analysis	42	41	$15.00	$6.18
99442 Telephone medical discussion with physician, 11-20 minutes	41	38	$83.54	$75.82
99496 Transitional care management services for problem of high complexity	39	31	$300.00	$255.32
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic	38	32	$60.26	$14.96
G0444 Annual depression screening, 5 to 15 minutes	28	28	$25.00	$18.38
20610 Aspiration and/or injection of fluid from large joint	27	22	$135.00	$55.94
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$176.00	$53.75
87804 Detection test by immunoassay with direct visual observation for influenza virus	22	11	$30.00	$14.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$100.00	$32.17
17000 Destruction of skin growth	16	15	$125.00	$69.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$206.43	$173.33
99442 Telephone medical discussion with physician, 11-20 minutes	14	14	$176.00	$53.73
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$125.64	$104.69
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$17.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	367	238	$249.63	$81.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	277	277	$200.32	$119.81
99213 Established patient office or other outpatient visit, typically 15 minutes	178	154	$174.12	$61.59
83036 Hemoglobin A1C level	150	114	$25.00	$10.57
G0008 Administration of influenza virus vaccine	88	88	$30.00	$17.28
90662 Influenza vaccine split virus, preservative free	82	82	$0.01	$0.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	77	62	$300.00	$108.18
93000 Routine ekg using at least 12 leads including interpretation and report	77	75	$75.00	$17.07
82270 Stool analysis for blood to screen for colon tumors	76	76	$12.00	$4.18
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$150.23	$52.82
82044 Urine microalbumin (protein) analysis	37	35	$15.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	37	35	$15.00	$5.63
99496 Transitional care management services for problem of high complexity	31	26	$300.00	$239.93
G0444 Annual depression screening, 5 to 15 minutes	27	27	$25.00	$18.75
20610 Aspiration and/or injection of fluid from large joint	26	19	$135.00	$60.51
G0009 Administration of pneumococcal vaccine	26	25	$30.00	$17.28
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$37.51	$34.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$217.25	$81.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$200.00	$171.68
17000 Destruction of skin growth	16	16	$125.00	$68.56
90670 Pneumococcal vaccine for injection into muscle	12	12	$50.01	$49.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	393	227	$244.69	$87.19
99213 Established patient office or other outpatient visit, typically 15 minutes	267	206	$172.18	$60.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	243	243	$200.68	$129.25
83036 Hemoglobin A1C level	176	122	$24.52	$11.55
G0008 Administration of influenza virus vaccine	90	89	$30.00	$21.08
90662 Influenza vaccine split virus, preservative free	85	83	$0.04	$0.04
82270 Stool analysis for blood to screen for colon tumors	79	79	$12.00	$4.24
93000 Routine ekg using at least 12 leads including interpretation and report	72	67	$75.00	$18.42
99213 Established patient office or other outpatient visit, typically 15 minutes	44	43	$149.00	$53.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	32	$297.32	$115.11
82570 Creatinine level to test for kidney function or muscle injury	35	33	$15.00	$6.26
82044 Urine microalbumin (protein) analysis	35	33	$15.00	$6.11
20610 Aspiration and/or injection of fluid from large joint	29	19	$135.00	$59.03
G0444 Annual depression screening, 5 to 15 minutes	26	26	$25.00	$19.97
99496 Transitional care management services for problem of high complexity	22	21	$300.00	$253.67
G0009 Administration of pneumococcal vaccine	20	20	$29.50	$21.23
87804 Detection test by immunoassay with direct visual observation for influenza virus	19	14	$30.00	$15.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$204.00	$81.22
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$200.00	$182.61
90670 Pneumococcal vaccine for injection into muscle	11	11	$14.60	$14.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$6.92	$6.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	445	253	$196.29	$104.73
99213 Established patient office or other outpatient visit, typically 15 minutes	290	191	$150.00	$71.37
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	249	249	$200.36	$137.72
83036 Hemoglobin A1C level	163	111	$20.00	$11.53
G0008 Administration of influenza virus vaccine	133	129	$30.00	$26.42
90662 Influenza vaccine split virus, preservative free	120	117	$4.21	$4.06
93000 Routine ekg using at least 12 leads including interpretation and report	81	77	$75.00	$19.10
82270 Stool analysis for blood to screen for colon tumors	73	73	$12.00	$4.37
99213 Established patient office or other outpatient visit, typically 15 minutes	41	35	$136.05	$52.24
G0444 Annual depression screening, 5 to 15 minutes	40	40	$25.00	$21.52
20610 Aspiration and/or injection of fluid from large joint	28	18	$135.00	$55.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$195.56	$80.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	23	$246.15	$139.45
G0442 Annual alcohol misuse screening, 5 to 15 minutes	21	21	$25.00	$21.52
99496 Transitional care management services for problem of high complexity	20	18	$300.00	$254.14
17000 Destruction of skin growth	19	15	$125.00	$74.17
G0009 Administration of pneumococcal vaccine	19	19	$30.00	$26.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$199.67	$197.09
90670 Pneumococcal vaccine for injection into muscle	14	14	$34.68	$33.98
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	12	$0.50	$0.45

Medical Specialties & State Licenses

CMS Verified: 2025-11-14

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License RI MD07976

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7002341 (RI)

Commercial Insurance / Payer ID Bluechip

202696 (RI)

Commercial Insurance / Payer ID Harvard Pilgrim Health Care

AA34962

Commercial Insurance / Payer ID Tufts

406226 (RI)

Commercial Insurance / Payer ID Champus

1730140864 (RI)

Commercial Insurance / Payer ID Blue Chip Of Rhode Island

202696 (RI)

Commercial Insurance / Payer ID Blue Shield Of Ri Id#

21726-4 (RI)

Commercial Insurance / Payer ID Neighborhood Health Plan Of Rhode Island

2973

Commercial Insurance / Payer ID Unitedhealthcare

04-07275 (RI)

Commercial Insurance / Payer ID Cigna

0140182004 (RI)

Hospital & Practice Group Affiliations

University Internal Medicine,inc

407 E Ave, Pawtucket, RI 028605299

Phone: 4017254700

Brown Medicine

375 Wampanoag Trl, Riverside, RI 029152232

Phone: 4016494010

Brown Medicine

164 Summit Ave, Providence, RI 029062853

Phone: 4017934050

Rhode Island Hospital

245 Chapman St, Providence, RI 029054539

Phone: 4014445280

Secondary Practice Locations

245 Chapman St Ste 300

Providence, RI 029054539

Phone: 4014445280

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners

Dr. Madhavi Yerneni , MD

Internal Medicine

NPI 1053375832

Doctor of Medicine (M.D.)

Katherine Maiorisi , PA-C

Physician Assistant

NPI 1265058044

Physician Assistant (Certified)

Dr. Christine Herbert , MD

Internal Medicine

NPI 1346202884

Doctor of Medicine (M.D.)

Dr. M Aurora Balerdi , MD

Internal Medicine

NPI 1447582135

Doctor of Medicine (M.D.)

Dr. Felicia Meila , MD

Internal Medicine

NPI 1720049802

Doctor of Medicine (M.D.)

Anthony Ramicone , PA-C

Physician Assistant

NPI 1730690488

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 26, 2025

Registered at 407 EAST AVE STE 110, PAWTUCKET, RI 028605299 (Tel: 4017254739)

📍

Updated Business Mailing Address September 26, 2025

Registered at 407 EAST AVE STE 110, PAWTUCKET, RI 028605299 (Tel: 4017254739)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2025

Internal Medicine (License #MD07976 in RI)

✅

NPI Profile Active May 06, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 06, 2008

Registered at 407 EAST AVE, SUITE 120, PAWTUCKET, RI 028605299 (Tel: 4017254739)

📍

Updated Business Mailing Address May 06, 2008

Registered at 407 EAST AVE, SUITE 120, PAWTUCKET, RI 028605299 (Tel: 4017254739)

👤

Provider Name / Credentials Updated May 06, 2008

Recorded as DAVID MARCOUX, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2008

Internal Medicine (License #MD7976 in RI)

🟢

Initial NPI Registration & Enumeration March 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730140864

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 29, 2006

Last Update: November 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

407 East Ave Ste 110

Pawtucket, RI 028605299

Phone: 4017254739

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.