Marlon J. Navarro, MD
Rheumatology Physician · Eau Claire, WI
Marlon J. Navarro, MD is a rheumatology physician with a practice address in Eau Claire, Wisconsin, and NPI 1295822948, issued on Oct 6, 2006. Check the license (Wisconsin 43188, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Marlon J. Navarro
- Credential
- MD
- Primary taxonomy
- Rheumatology Physician 207RR0500X
- License number
- 43188 WI
Self-reported in NPPES; status is on the state search - Practice location
- 2116 Craig RD, Eau Claire, WI 54701
- Phone
- (715) 858-4538
- Enumerated
- Oct 6, 2006
- Record last updated
- Nov 21, 2023
- Medicaid ID
- 34079400 WI
- Medicare enrollment
- Enrolled (PECOS I20100625000674); accepts Medicare assignment
- Medical or professional school
- Louisiana State University School Of Medicine In New Orleans, 1996
- Entity
- Type 1 · individual
8 nearest rheumatology physician records → All 154 in Wisconsin → Look up another NPI →
Also registered at 2116 Craig RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Abigail Aguirre, PAPhysician Assistant1982307054
- Aruna Ahluwalia, MDAnesthesiology Physician1205852506
- Sharat Ahluwalia, MDNeurology Physician1629179221
- Omprakash Ahuja, MDPulmonary Disease Physician1861563058
- Brad Allar, PAPhysician Assistant1598795650
- Brent Amble, A.T.C., L.A.T.Athletic Trainer1235122771
Verify Marlon J. Navarro in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 43188Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
86% more Medicare Part D claims than the average rheumatology physician in 2024
3,679 Medicare Part D claims for 615 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D.
Most prescribed
- Prednisone803 claims
- Methotrexate705 claims
- Hydroxychloroquine Sulfate482 claims
- Humira(Cf) Pen361 claims
- Enbrel Sureclick232 claims
- Celecoxib167 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): 82.4 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).
Bills Medicare through 2 group practices
- Lakeview Medical Center Inc OF Rice LakeRice Lake, WI
- Mchs Hospitals IncMarshfield, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marlon J. Navarro among 154 rheumatology physician records in Wisconsin
Marlon J. Navarro, MD is one of 154 rheumatology physician records with a practice address in Wisconsin. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 8% of them.
- NPI issued2006 · 8% of these records are older, 48% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated1996 · median 2004 among the 97 with a school on file
- Record last updated2023 · 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 207RR0500X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Rheumatology Physician providers in Wisconsin
There are 154 rheumatology physician records in Wisconsin.
All 154 in Wisconsin → Every provider in Eau Claire → Rheumatology Physician nationwide →
The 8 rheumatology physician records with the nearest ZIP codes
- Lon Blaser, D.O.Eau Claire, WI 547011073755468
- Gina Adel, MDEau Claire, WI 547031841231727
- Pankaj Bansal, M.D.Eau Claire, WI 547031508181579
- Elena Ciofoaia, M.D.Eau Claire, WI 547031477074524
- Adria Madera Acosta, M.DEau Claire, WI 547031811424666
- Ibiyemi Oke, MDEau Claire, WI 547031760044036
- Timothy Shelley, MDEau Claire, WI 547031821066804
- Sreekanth Chintamaneni, M.D.Onalaska, WI 546501427118280
Common questions
What is Marlon J. Navarro, MD's NPI number?
Marlon J. Navarro, MD's National Provider Identifier (NPI) is 1295822948, issued on Oct 6, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Marlon J. Navarro, MD located?
The NPPES record lists a practice address at 2116 Craig RD, Eau Claire, WI, 54701. Phone: (715) 858-4538. Providers update this record themselves, so call before visiting.
How can I verify Marlon J. Navarro, MD's license?
NPPES lists Wisconsin license number 43188, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Marlon J. Navarro, MD prescribe under Medicare Part D?
In 2024, Marlon J. Navarro, MD had 3,679 Medicare Part D claims for 615 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.
What is Marlon J. Navarro, MD's MIPS final score?
The 2023 MIPS final score is 82.4 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.