Active NPI
Marcus Colyer, M.D.
- Ophthalmology Physician
- Issaquah, WA
National Provider Identifier
1215033915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD61305286
- Practice address
- 1740 NW Maple St Ste 202
Issaquah, WA 98027-8127 - Phone
- (425) 900-6222
- Fax
- (425) 249-3166
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | MD61305286 | WA | |
| Ophthalmology Physician | 207W00000X | MD61305286 | WA | Primary |
Addresses
Primary practice location
1740 NW Maple St Ste 202
Issaquah, WA 98027-8127
Mailing address
1740 NW Maple St Ste 202
Issaquah, WA 98027-8127
Phone (425) 900-6222
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215033915 | Medicaid | VA | |
| 2268107 | Medicaid | WA | |
| 016593000 | Medicaid | MD | |
| 039498400 | Medicaid | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mcolyer@peak.emadirect.md | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Pennsylvania State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 NW Maple St
Suite 202
Issaquah, WA 98027-8127
Phone (425) 900-6222
Hospital & facility affiliations
- Swedish Medical Center
- Overlake Hospital Medical Center & Clinics
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Retina PLLC | Ophthalmology | Current | Accepting new patients |
| Eastside Medical Group, LLC | Past | Accepting new patients |
Locations
111 S 11th Ave
Ste 201
Yakima, WA 98902
Phone (509) 454-6545
Interoperability endpoints
- mcolyer@peak.emadirect.md
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Issaquah, WA
- NPI 1881474690
-
- Ambulatory Surgical Clinic/Center
- Issaquah, WA
- NPI 1750709358
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1215033915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST STE 202",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278127",
"telephone_number": "425-900-6222",
"fax_number": "425-249-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 NW MAPLE ST STE 202",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980278127",
"telephone_number": "425-900-6222",
"fax_number": "425-249-3166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLYER",
"first_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "WA",
"license": "MD61305286",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD61305286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215033915",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2268107",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016593000",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039498400",
"state": "DC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mcolyer@peak.emadirect.md",
"affiliation": "N",
"endpointDescription": "Peak Retina Direct Mail Address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1740 NW Maple St Ste 202",
"city": "Issaquah",
"state": "WA",
"country_code": "US",
"postal_code": "980278127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.