Active NPI
Michael Allan Marmer, M.D.
- Urology Physician
- Payson, AZ
National Provider Identifier
1720156284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 28172
- Practice address
- 111 E Frontier St
Payson, AZ 85541-5663 - Phone
- (928) 468-0018
- Fax
- (928) 468-0019
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 28172 | AZ | Primary |
Addresses
Primary practice location
111 E Frontier St
Payson, AZ 85541-5663
Mailing address
PO Box 438
Payson, AZ 85547-0438
Phone (928) 468-0018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051012000064 | AZ | Practitioner - Urology | 9638194699 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
709 W Main St
Suite a
Payson, AZ 85541-4719
Phone (928) 468-0018
Hospital & facility affiliations
- Banner Payson Medical Center
- Cobre Valley Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.41 of 100
- Quality
- 100
- Improvement activities
- 0
- Cost
- 48.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28172 | AZ | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Country Urologic Associates PC | Urology | Current | Accepting new patients |
Locations
709 W Main St
Payson, AZ 85541
709 W Main St
Ste A
Payson, AZ 85541
Phone (928) 468-0018
111 E Frontier St
Payson, AZ 85541
Phone (928) 468-0018
Organizations & group practices 1
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 4
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": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720156284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 438",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855470438",
"telephone_number": "928-468-0018",
"fax_number": "928-468-0019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E FRONTIER ST",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855415663",
"telephone_number": "928-468-0018",
"fax_number": "928-468-0019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARMER",
"first_name": "MICHAEL",
"middle_name": "ALLAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "AZ",
"license": "28172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.