Marc C. Peden, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME96228 Issued in FL

Practice address

602 S Macdill Ave
Tampa, FL 33609-4614

Phone

(813) 875-6373

Fax

(813) 876-0960

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Ophthalmology

Education

University of Florida College of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Associates of Florida, P.a.Group PAC ID 4486719408, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.07 of 100Reported as group

Quality

100

Improvement activities

40

Cost

83.56

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Retina Associates of Florida, P.a.

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1811959570
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1316028335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094614",
            "telephone_number": "813-875-6373",
            "fax_number": "813-876-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S MACDILL AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094614",
            "telephone_number": "813-875-6373",
            "fax_number": "813-876-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDEN",
        "first_name": "MARC",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "TRN6699",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME96228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278603600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malayna Pearson
• Katelyn Riley Pease, BCBA
• Maureen Elizabeth Peck, CRNA
• Ostile Foucault Peck, ARNP
• Carmen Peden, M.D.,PH.D.
• Carolina Pedersen
• Pediatric & Adolescent Health Associates, LLC
• Pediatric Anesthesia PA
• Pediatric Associates of Tampa Bay, LLC
• Pediatric Cardiology Specialists PL

• Ophthalmology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.

Verify at the official NPI Registry.