Active NPI
Marjorie Fricke Debenedictis, MD
- Ophthalmology Physician
- Tamuning, GU
National Provider Identifier
1659458248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- M001334
- Practice address
- 633 Gov Carlos Camacho Rd.
Suite 103
Tamuning, GU 96913-3300 - Phone
- (671) 647-5829
- Fax
- (671) 647-5830
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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.
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Southern California Keck School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
633 Gov Carlos Camacho Rd
Suite 204
Tamuning, GU 96913
Phone (671) 647-5829
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.3 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 78.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 128 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060508000632 | HI | Practitioner - Ophthalmology | 7618983149 |
Reassigns benefits to 1 organization Receives reassigned benefits from 1 practitioner Practice locations: Tamuning, GU |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M001334 | GU | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marianas Eye Institute Inc | Ophthalmology | Current | Accepting new patients |
| Island Eye Center | Ophthalmology | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | M001334 | GU | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
633 Gov Carlos Camacho Rd.
Suite 103
Tamuning, GU 96913-3300
Mailing address
633 Gov Carlos Camacho Rd.
Suite 103
Tamuning, GU 96913-3300
Phone (671) 647-5829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2013.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1659458248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 GOV CARLOS CAMACHO RD.",
"address_2": "SUITE 103",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133300",
"telephone_number": "671-647-5829",
"fax_number": "671-647-5830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 GOV CARLOS CAMACHO RD.",
"address_2": "SUITE 103",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969133300",
"telephone_number": "671-647-5829",
"fax_number": "671-647-5830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBENEDICTIS",
"first_name": "MARJORIE",
"middle_name": "FRICKE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GU",
"license": "M001334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.