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Edit this profileMarc A. Theroux, MD is a healthcare provider in Fall River, MA specializing in internal medicine. According to Medicare claims data, Marc cared for 638 Medicare patients across 1,242 services. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, and chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month. This provider record is associated with NPI 1497742514.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
534 PROSPECT ST
Fall River, MA 02720
Within Internal Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Cancer Prevention
Cancer risk
Environmental health
General wellness
Heart health
Infectious Disease
Infectious disease
Kidney health
Lifestyle & wellness
Lifestyle health
Longevity
Metabolic & Lifestyle
Occupational health
Occupational Health
Rashes & allergy
Sexual Health
Sexual health
Substance use
Travel health
Wellness and energy
Workplace health
Most searched conditions
Cardiometabolic
Digestive and liver
Endocrine, blood, and bone
Kidney and urinary
Respiratory
Blood & Circulation
Blood disorders
Brain & Nerves
Brain and nerves
Cardiac and vascular
Digestive
Heart & Circulation
Infections
Kidney & Bladder
Lungs & Breathing
Mental Health
Neurologic and behavioral
Pain
Rheumatologic and pain
Addiction & habits
Cancer screening
Cancer Screening
Checkups & exams
Chronic illness
Diagnostics & screening
Environmental health
Fitness & body composition
Heart & Circulation
Heart & circulation
Heart health
Hospital-based procedures
Imaging referral
Immunizations
Infection & Microbiology Tests
Lifestyle & Prevention
Longevity
Lower endoscopy
Lungs & Breathing
Metabolic & Weight
Metabolic health
Occupational health
Occupational Health
Office Procedures
Preventive and evaluation
Preventive imaging
Preventive screening
Routine Blood Tests
Screening & labs
Screening and diagnostic testing
Screenings & Diagnostics
Travel Health
Travel medicine
Wellness
Wellness & Screening
Workplace health
Skin growths
Sleep
Most searched procedures
Bones & Joints
Brain and nerves
Digestive
Exams & Consultations
Lab tests
Minor procedures
Office procedures
Pain management
Preventive & Routine Care
Sexual health
1,242 services · 638 patients · 9 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | Treatment | 93000 |
24 | As often as other peers in Internal Medicine |
| Influenza vaccine, inactivated | Treatment | 90653 |
16 | Less often than most peers in Internal Medicine |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
506 | More often than most peers in Internal Medicine |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
431 | More often than most peers in Internal Medicine |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99439 |
165 | More often than most peers in Internal Medicine |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Billing code | G0180 |
33 | More often than most peers in Internal Medicine |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
25 | Less often than most peers in Internal Medicine |
| Administration of influenza virus vaccine | Billing code | G0008 |
23 | Less often than most peers in Internal Medicine |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99487 |
19 | Less often than most peers in Internal Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Theroux is an internist in Fall River, MA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Internal Medicine”.
NPI registry
Dr. Theroux is listed at 534 Prospect St, Fall River, MA 02720. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (508) 973-7766. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Theroux's National Provider Identifier is 1497742514. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Dr. Theroux has 21+ years experience. Registered with an NPI since 2005. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.
NPI registry
According to Medicare billing data, Dr. Theroux provides treatments such as routine electrocardiogram using at least 12 leads with interpretation and report and influenza vaccine, inactivated, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Theroux. If this is you, claiming it is free.
Guide.md
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