Marco Frias, MD
Family Medicine Physician · Binghamton, NY
Marco Frias, MD is a family medicine physician with a practice address in Binghamton, New York, and NPI 1356993281, issued on Jul 11, 2019. Check the license (New York 319537, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Marco Frias
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License number
- 319537 NY
Self-reported in NPPES; status is on the state search - Practice location
- 160 Robinson St, Binghamton, NY 13904
- Phone
- (607) 296-2300
- Enumerated
- Jul 11, 2019
- Record last updated
- Sep 23, 2022
- Medicare enrollment
- Enrolled (PECOS I20230113000774); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 6,417 in New York → Look up another NPI →
Also registered at 160 Robinson St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mary Chesna, NPFamily Nurse Practitioner1720731169
- Victoria Convertini, PHARMDPharmacist1609259316
- Jaime Fernandez, NPFamily Nurse Practitioner1487103024
- Jeffrey GarbinPharmacist1750606422
- Meghan Laing, FNPFamily Nurse Practitioner1356781165
- Anila Rani, MDFamily Medicine Physician1235751710
Verify Marco Frias in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 319537Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.5 times the Medicare Part D claims of the average family medicine physician in 2024
8,929 Medicare Part D claims for 593 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 14% of claims. 313 claims were for opioids.
Most prescribed
- Atorvastatin Calcium528 claims
- Amlodipine Besylate382 claims
- Lisinopril366 claims
- Losartan Potassium280 claims
- Gabapentin265 claims
- Levothyroxine Sodium263 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 84.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $2,157.11
119 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- United Health Services Hospitals, Inc.Binghamton, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marco Frias among 6,417 family medicine physician records in New York
Marco Frias, MD is one of 6,417 family medicine physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 83% of them.
- NPI issued2019 · 83% of these records are older, 14% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2013 · median 2007 among the 4,188 with a school on file
- Record last updated2022 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
39 family medicine physician records list a practice address in Binghamton
They are 39 of the 2,211 NPPES records with a practice address in Binghamton, and 6,417 family medicine physician records in New York.
All 6,417 in New York → Every provider in Binghamton → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Michele Boyle, M.D.Binghamton, NY 139041184724676
- Mamadou Diallo, MDBinghamton, NY 139041164508388
- Derrick Hoover, M.D.Binghamton, NY 139041043444573
- John Leistner, MDBinghamton, NY 139041992226674
- Gregorio Mariano, M.D.Binghamton, NY 139041043383581
- Jerome Mikloucich, D.O.Binghamton, NY 139041114059185
- Anila Rani, MDBinghamton, NY 139041235751710
- Priyanka Sharma, MDBinghamton, NY 139041295276988
Common questions
What is Marco Frias, MD's NPI number?
Marco Frias, MD's National Provider Identifier (NPI) is 1356993281, issued on Jul 11, 2019. An NPI identifies a provider in billing; it is not a license.
Where is Marco Frias, MD located?
The NPPES record lists a practice address at 160 Robinson St, Binghamton, NY, 13904. Phone: (607) 296-2300. Providers update this record themselves, so call before visiting.
How can I verify Marco Frias, MD's license?
NPPES lists New York license number 319537, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Marco Frias, MD prescribe under Medicare Part D?
In 2024, Marco Frias, MD had 8,929 Medicare Part D claims for 593 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
What is Marco Frias, MD's MIPS final score?
The 2023 MIPS final score is 84.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.