Physician

Marco Antonio Pelosi, MD

According to 2025 Medicare claims, Marco Pelosi, MD (NPI: 1063531556) practices gynecologist/oncologist in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Hudson, NJ. This provider's primary affiliated billing organization is DR. M. PELOSI, MD PA (NPI: 1699762963; TIN: 222092332) and primary practice location at 07002-1313.

Pelosi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 64 traditional Medicare patients, billed 117 HCPCS/CPT codes, and received $7,424 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 167 prescription claims across 55 beneficiaries totaling $11,641 in drug costs, led by Estradiol (Estradiol). Open Payments data shows 5 records totaling $25,409. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has declined steadily, from $14,080 to $7,424. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$7.0K$14K2015 Medicare payment: $14,080 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $11,593 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $10,520 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $9,704 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $11,243 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $6,932 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $11,233 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $7,979 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $10,542 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $7,424 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015123227$14,080
2016110203$11,593
201797200$10,520
201899175$9,704
201995179$11,243
202068122$6,932
202191162$11,233
202271128$7,979
202374148$10,542
202464117$7,424

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$20K$41K2015 Drug cost: $18,810 (USD; Tot_Drug_Cst)2016 Drug cost: $20,034 (USD; Tot_Drug_Cst)2017 Drug cost: $18,485 (USD; Tot_Drug_Cst)2018 Drug cost: $20,776 (USD; Tot_Drug_Cst)2019 Drug cost: $36,929 (USD; Tot_Drug_Cst)2020 Drug cost: $40,669 (USD; Tot_Drug_Cst)2021 Drug cost: $33,098 (USD; Tot_Drug_Cst)2022 Drug cost: $25,599 (USD; Tot_Drug_Cst)2023 Drug cost: $29,323 (USD; Tot_Drug_Cst)2024 Drug cost: $11,641 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201548170$18,810
201652179$20,034
201749140$18,485
201851181$20,776
201954208$36,929
202060225$40,669
202142157$33,098
202236127$25,599
202345137$29,323
202455167$11,641

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4243$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1319$71
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory1818$49
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1818$43

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EstradiolEstradiol12734$828
Zolpidem TartrateZolpidem Tartrate24900$158
Nystatin-TriamcinoloneNystatin/Triamcinolone Acet1399$52
FluconazoleFluconazole1616$36
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim1284$32

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$25,409CooperSurgical, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Marco Antonio Pelosi, MD?

Tedicare shows public-source Medicare data for Marco Antonio Pelosi, MD (NPI 1063531556), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Marco Antonio Pelosi, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Marco Antonio Pelosi, MD?

Marco Antonio Pelosi, MD is linked to DR. M. PELOSI, MD PA (billing NPI 1699762963) in the available physician profile data.

Does Marco Antonio Pelosi, MD have Open Payments data?

Marco Antonio Pelosi, MD has 5 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.