Individual provider Active NPI

Craig Michael Fern, M.D.

  • Specialist
  • Mount Kisco, NY
National Provider Identifier
1689644973
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
178025 Issued in NY
Practice address
105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3441
Phone
(914) 244-3800
Fax
(914) 244-3596
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 178025 NY Primary

Addresses

Primary practice location

105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3441

Mailing address

105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3441
Phone (914) 244-3800

Other identifiers 1

IdentifierTypeStateIssuer
01719126MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20051229000047 NY Practitioner - Ophthalmology 0345262721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3466
Phone (914) 244-3800

Hospital & facility affiliations

  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Craig M. Fern, M.D., P.C. Specialist CurrentSince Nov 22, 2009 Accepting new patients
Westchester Vitreo Retinal, PC Past Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

105 S Bedford Rd
Ste 311
Mount Kisco, NY 10549
Phone (914) 244-3800

34 S Broadway
Ste 112
White Plains, NY 10601
Phone (914) 285-0400

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: cfern@westchester.intellechartdirect.net
  • Direct secure messaging: cfern68882@northwell.direct-ci.com

Organizations & group practices 3

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 2

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689644973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BEDFORD RD",
            "address_2": "SUITE 311",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493441",
            "telephone_number": "914-244-3800",
            "fax_number": "914-244-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BEDFORD RD",
            "address_2": "SUITE 311",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493441",
            "telephone_number": "914-244-3800",
            "fax_number": "914-244-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERN",
        "first_name": "CRAIG",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "178025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01719126",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.