Dr. Joseph Hamel Marcotte , MD
Surgery โข Fall River, MA
795 Middle St
Fall River, MA 027211798
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on January 30, 2015; this date does not establish years in practice.
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Published CMS data list 11 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 49650 โ Repair of groin hernia using an endoscope: 11 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 80 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Tramadol Hcl โ 80 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 66 in 2021 to 11 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2023.
Practice Location & Contact Primary Location
795 Middle St
Fall River, MA 027211798
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 3 distinct additional practice-address records in Brockton, MA; Miami, FL; Philadelphia, PA. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Lifespan Physician Group Of Massachusetts Inc; Steward Medical Group Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
George Washington University School Of Medicine
2014
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,124 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
Paid by Medicare
About $790 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
30-day fills
80 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$191 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023.
Open Payments general payments, program year 2024
All general payments: $90.62 across 3 records.
By nature of payment
- Food and Beverage: $90.62 across 3 records.
Reporting-company totals
- W. L. Gore & Associates, Inc.: $48.71 across 1 record.
- Smith+Nephew, Inc.: $41.91 across 2 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2015
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
May accept Medicare assignment
CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.
Ask the office before your visit. If a clinician does not accept assignment for a service, they can charge up to 15% more than the Medicare-approved amount, and you may be asked to pay the full amount at the visit.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Marcotte has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Marcotte as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fall River and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Marcotte are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Marcotte are from 2023.
8 active clinicians are listed under Surgery with a practice address in Fall River, MA (1,003 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 83% from 66 in 2021 to 11 in 2023.
- 2021: 66
- 2023: 11
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Medicare-allowed amount
Medicare-allowed amount decreased 76% from $4,669 in 2021 to $1,124 in 2023.
- 2021: $4,669
- 2023: $1,124
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Paid by Medicare
Paid by Medicare decreased 79% from $3,735 in 2021 to $790 in 2023.
- 2021: $3,735
- 2023: $790
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 90% from 42 in 2022 to 80 in 2023.
- 2022: 42
- 2023: 80
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30-day fills
30-day fills increased 90% from 42 in 2022 to 80 in 2023.
- 2022: 42
- 2023: 80
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Part D drug cost
Part D drug cost went from $145 in 2022 to $191 in 2023.
- 2022: $145
- 2023: $191
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Industry payments (Open Payments)
Industry payments (Open Payments) decreased 98% from $4,047.52 in 2022 to $90.62 in 2024.
- 2022: $4,047.52
- 2023: $18.56
- 2024: $90.62
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $90.62.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| W. L. Gore & Associates, Inc. |
Food and Beverage
In-kind items and services
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GORE ENFORM Preperitoneal Biomaterial | General | $48.71 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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GRAFIX PL | General | $23.97 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
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GRAFIX PL | General | $17.94 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2021โ2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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49650
Repair of groin hernia using an endoscope
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11 | 11 | $1544.00 | $102.16 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 80 | 245 | $190.85 | 79 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-09-24NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20200924002534
MA
0749609782
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Lifespan Physician Group Of Massachusetts Inc
795 Middle St, Fall River, MA 027211733
Phone: 5086745600
Steward Medical Group Inc
289 Pleasant St, Fall River, MA 027213005
Phone: 5085670463
Steward Medical Group Inc
11 Nevins St, Brighton, MA 021353514
Phone: 6177892442
Secondary Practice Locations
8950 N Kendall Dr Ste 601w
Miami, FL 331762139
Phone: 3052719777
680 Centre St
Brockton, MA 023023308
Phone: 5089417000
1307 Spruce St Apt 3a
Philadelphia, PA 191075633
Phone: 4013397750
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Radiology - Vascular & Interventional Radiology
Doctor of Medicine (M.D.)
Pediatrics - Developmental - Behavioral Pediatrics
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 795 MIDDLE ST, FALL RIVER, MA 027211798 (Tel: 5082355288)
Registered at 795 MIDDLE ST, FALL RIVER, MA 027211798 (Tel: 5082355288)
Surgery (license number reported to NPPES: MA 283874)
Registered at 8950 N KENDALL DR STE 601W, MIAMI, FL 331762139 (Tel: 3052719777)
Registered at 8950 N KENDALL DR STE 601W, MIAMI, FL 331762139 (Tel: 3052719777)
Registered at 680 CENTRE ST, BROCKTON, MA 023023308 (Tel: 5089417000)
Registered at 680 CENTRE ST, BROCKTON, MA 023023308 (Tel: 5089417000)
Surgery (license number reported to NPPES: MA 6041)
NPI status registered as active in NPPES database
Registered at 1307 SPRUCE ST APT 3A, PHILADELPHIA, PA 191075633 (Tel: 4013397750)
Registered at 1307 SPRUCE ST APT 3A, PHILADELPHIA, PA 191075633 (Tel: 4013397750)
Recorded as JOSEPH MARCOTTE, M.D.
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Fall River
- Dr. Paul Ruggieri, MD
- Dr. Patrick Fei, MD
- Dr. Daniel Eardley, DO
- Dr. James Hermenegildo, MD
- Dr. Gerald Monchik, MD
- Dr. Michael Courchesne, MD
Mailing Address
795 Middle St
Fall River, MA 027211798
Phone: 5082355288