Dr Marc G Plescia, MD - Medicare Family Practice in Herndon, VA

Dr Marc G Plescia, MD is a medicare enrolled "Family Medicine" physician in Herndon, Virginia. He went to Rutgers New Jersey Medical School and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Inova Health Care Services, Inova Physician Partners Llc and his current practice location is 555 Herndon Pkwy, Ste 100, Herndon, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 481-1505.

Dr Marc G Plescia is licensed to practice in Virginia (license number 0101036871) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497749121.

Contact Information

Dr Marc G Plescia, MD
555 Herndon Pkwy, Ste 100,
Herndon, VA 20170-5276
(703) 481-1505
(703) 742-8793

Map and Direction




Physician's Profile

Full NameDr Marc G Plescia
GenderMale
SpecialityFamily Practice
Experience41 Years
Location555 Herndon Pkwy, Herndon, Virginia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Marc G Plescia attended and graduated from Rutgers New Jersey Medical School in 1983
  NPI Data:
  • NPI Number: 1497749121
  • Provider Enumeration Date: 09/08/2005
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496938045
  • Enrollment ID: I20110321000269

Medical Identifiers

Medical identifiers for Dr Marc G Plescia such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497749121NPI-NPPES
080182901OtherVARR MEDICARE
05624479MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101036871 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Reston Hospital CenterReston, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inova Health Care Services24663510931778
Inova Physician Partners Llc2466581772313

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Marc G Plescia allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298
Entity NameInova Physician Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215264916
PECOS PAC ID: 2466581772
Enrollment ID: O20100525000846

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Marc G Plescia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Marc G Plescia, MD
555 Herndon Pkwy, Ste 100,
Herndon, VA 20170-5276

Ph: (703) 481-1505
Dr Marc G Plescia, MD
555 Herndon Pkwy, Ste 100,
Herndon, VA 20170-5276

Ph: (703) 481-1505

Reviews and Comments


Family Medicine Doctors in Herndon, VA

Dr. Fred Clayton Wilkins Jr., MD
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Medicare: Not Enrolled in Medicare
Practice Location: 104 Anthem Ave, Herndon, VA 20170
Phone: 703-376-7296    
Dr. Jason A. Cooper, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 Herndon Parkway, Ste 100, Herndon, VA 20170
Phone: 703-481-1505    Fax: 703-742-8793
Robin L. Donald, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1141 Elden St, Third Floor, Herndon, VA 20170
Phone: 703-481-8160    Fax: 703-435-6752
Mrs. Diviyalaxmi Muruganandam, PA
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 381 Elden St Ste 1000, Herndon, VA 20170
Phone: 703-481-1505    Fax: 703-742-8793
Dr. Kevin J Lee, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 555 Herndon Parkway, Suite 100, Herndon, VA 20170
Phone: 703-481-1505    Fax: 703-742-8793
Bao-chau Audrey T Nguyen, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 600 Herndon Pkwy Ste 200, Herndon, VA 20170
Phone: 703-464-6094    Fax: 703-689-8959
Evelyn Butsome Sallah-koomson, APRN FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 106 Elden St Ste 18b, Herndon, VA 20170
Phone: 703-723-9100    Fax: 703-723-9200

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.