Individual provider Active NPI

Mark P Gotchel, MD

  • Ophthalmology Physician
  • East Stroudsburg, PA
National Provider Identifier
1114984481
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD029888E Issued in PA
Practice address
300 Plaza CT
Suite a
East Stroudsburg, PA 18301-8260
Phone
(570) 421-8842
Fax
(570) 476-5842
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD029888E PA Primary

Addresses

Primary practice location

300 Plaza CT
Suite a
East Stroudsburg, PA 18301-8260

Mailing address

300 Plaza CT
Suite a
East Stroudsburg, PA 18301-8260
Phone (570) 421-8842

Other identifiers 1

IdentifierTypeStateIssuer
0015217550003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000455 PA Practitioner - Ophthalmology 0143271734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wake Forest University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pocono Eye Associates IncGroup PAC ID 9436131026, 10 clinicians

Practice addresses (Care Compare)

1650 Route 209
Brodheadsville, PA 18322-7774
Phone (570) 992-4000

300 Plaza CT
Suite a
East Stroudsburg, PA 18301-8260

Merit-based Incentive Payment System (MIPS)

Final score
86.85 of 100Reported as group
Quality
87.82
Improvement activities
40
Cost
72.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pocono Eye Associates Inc Ophthalmology CurrentSince Sep 12, 1986 Accepting new patients

Locations

1650 Route 209
Brodheadsville, PA 18322
Phone (570) 992-4000

300 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 421-8842

100 Community Dr
Ste 204A
Tobyhanna, PA 18466
Phone (570) 895-4550

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1114984481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PLAZA CT",
            "address_2": "SUITE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018260",
            "telephone_number": "570-421-8842",
            "fax_number": "570-476-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLAZA CT",
            "address_2": "SUITE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018260",
            "telephone_number": "570-421-8842",
            "fax_number": "570-476-5842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTCHEL",
        "first_name": "MARK",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD029888E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015217550003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.