Physician

Anne-Marie Marcoux, M.D.

According to 2025 Medicare claims, Anne-Marie Marcoux, M.D. (NPI: 1487644639) practices colorectal surgery (formerly proctology) in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Bucks, PA. This provider's primary affiliated billing organization is REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (NPI: 1154422806; TIN: 232812220) and primary practice location at 19047-1220. Marcoux is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), participating under the MSSP model.

Marcoux's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 319 traditional Medicare patients, billed 405 HCPCS/CPT codes, and received $58,698 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 100 prescription claims across 50 beneficiaries totaling $21,140 in drug costs, led by Mesalamine (Mesalamine). Open Payments data shows 2 records totaling $141. 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 $110,794 to $58,698. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $9,737 and ending at $21,140. 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.

Year	Patients	Clm Lines	Payment
2015	387	596	$110,794
2016	404	610	$104,562
2017	392	585	$123,712
2018	382	556	$108,807
2019	456	654	$128,749
2020	415	688	$126,155
2021	389	536	$85,433
2022	406	551	$86,381
2023	397	525	$77,431
2024	319	405	$58,698

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	97	117	$9,737
2016	150	214	$21,586
2017	134	205	$35,806
2018	72	124	$22,272
2019	109	175	$19,125
2020	119	178	$21,400
2021	74	123	$28,192
2022	78	177	$25,860
2023	92	155	$30,862
2024	50	100	$21,140

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	38	$219
G0105	Colorectal cancer screening; colonoscopy on individual at high risk	69	69	$187
45380	Biopsy of large bowel using a flexible endoscope	54	54	$167
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$119
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$86

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mesalamine	Mesalamine	31	1,955	$17,515

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$141	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Anne-Marie Marcoux, M.D.?

Tedicare shows public-source Medicare data for Anne-Marie Marcoux, M.D. (NPI 1487644639), 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 Anne-Marie Marcoux, M.D. have ACO affiliation data?

Anne-Marie Marcoux, M.D. is shown with ACO affiliation data for Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019).

What billing organization is linked to Anne-Marie Marcoux, M.D.?

Anne-Marie Marcoux, M.D. is linked to REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (billing NPI 1154422806) in the available physician profile data.

Does Anne-Marie Marcoux, M.D. have Open Payments data?

Anne-Marie Marcoux, M.D. has 2 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.