Individual provider Active NPI

Mark Lee Sczepanski, M.D.

  • Ophthalmology Physician
  • Grand Forks, ND
National Provider Identifier
1295731040
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
8411 Issued in ND
Practice address
3035 Demers Ave
Grand Forks, ND 58201-4018
Phone
(701) 775-3151
Fax
(701) 775-3153
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8411 ND
Ophthalmology Physician 207W00000X 8411 ND Primary

Addresses

Primary practice location

3035 Demers Ave
Grand Forks, ND 58201-4018

Mailing address

3035 Demers Ave
Grand Forks, ND 58201-4018
Phone (701) 775-3151

Other identifiers 1

IdentifierTypeStateIssuer
11209MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040126000601 MN Practitioner - Ophthalmology 1759283088 Reassigns benefits to 1 organization
I20040419000027 ND Practitioner - Ophthalmology 1759283088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Dakota School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Dakota Eye Clinic LTDGroup PAC ID 0648262808, 5 clinicians

Practice addresses (Care Compare)

1820 S 42ND St
Grand Forks, ND 58201-5712
Phone (701) 775-3151

901 Hanson Dr
Thief River Falls, MN 56701-4235
Phone (218) 681-1777

Hospital & facility affiliations

  • Sanford Thief River Falls Medical Center Hospital, Thief River Falls, MN, CCN 241381
  • Unity Medical Center Hospital, Grafton, ND, CCN 351320
  • Altru Hospital Hospital, Grand Forks, ND, CCN 350019

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
90.22 of 100Reported as group
Quality
90.28
Promoting interoperability
100
Improvement activities
40
Cost
72.7

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1177
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8411NDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
North Dakota Eye Clinic, LTD Specialist CurrentSince Jan 1, 2004 Accepting new patients
Northwest Eye Center PLLC CurrentSince Feb 21, 2008 Accepting new patients
Christian Unity Hospital Corporation Past Accepting new patients
North Dakota Eye Clinic, LTD Ophthalmology PastSince Jan 1, 2004 Accepting new patients

Locations

901 Hanson Dr
Thief Rvr Fls, MN 56701
Phone (218) 681-1777

109 S Minnesota St
Warren, MN 56762
Phone (218) 745-4211

164 W 13th St
Grafton, ND 58237
Phone (701) 352-1620

3035 Demers Ave
Grand Forks, ND 58201
Phone (701) 746-6694

1820 S 42nd St
Grand Forks, ND 58201
Phone (701) 775-3151

Interoperability endpoints

  • Direct secure messaging: msczepanski@ndec.intellechartdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1295731040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014018",
            "telephone_number": "701-775-3151",
            "fax_number": "701-775-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014018",
            "telephone_number": "701-775-3151",
            "fax_number": "701-775-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCZEPANSKI",
        "first_name": "MARK",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ND",
            "license": "8411",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ND",
            "license": "8411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11209",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.