Active NPI
Mark Lee Sczepanski, M.D.
- Ophthalmology Physician
- Grand Forks, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 8411
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11209 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Unity Medical Center
- Altru Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.22 of 100
- Quality
- 90.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1177 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8411 | ND | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Dakota Eye Clinic, LTD | Specialist | Current | Accepting new patients |
| Northwest Eye Center PLLC | Current | Accepting new patients | |
| Christian Unity Hospital Corporation | Past | Accepting new patients | |
| North Dakota Eye Clinic, LTD | Ophthalmology | Past | 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
- 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.
-
- Critical Access Hospital
- Grafton, ND
- NPI 1245216852
-
- Optometrist
- Thief River Falls, MN
- NPI 1831156645
-
- Rural Health Clinic/Center
- Grafton, ND
- NPI 1558423665
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Forks, ND
- NPI 1154346161
-
- Critical Access Hospital
- Grafton, ND
- NPI 1245216852
-
- Critical Access Hospital
- Thief River Falls, MN
- NPI 1043218753
-
- Psychiatric Hospital
- Thief River Falls, MN
- NPI 1790842466
-
- Multi-Specialty Clinic/Center
- Thief River Falls, MN
- NPI 1861895906
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.