Individual provider Active NPI

Marc J Safran, M.D.

  • Ophthalmology Physician
  • Liverpool, NY
National Provider Identifier
1740388602
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200315 Issued in NY
Practice address
8340 Oswego Rd
Liverpool, NY 13090-1026
Phone
(315) 622-1234
Fax
(315) 622-0018
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200315 NY Primary

Addresses

Primary practice location

8340 Oswego Rd
Liverpool, NY 13090-1026

Mailing address

8340 Oswego Rd
Liverpool, NY 13090-1026
Phone (315) 622-1234

Other identifiers 4

IdentifierTypeStateIssuer
000004734OtherNYBLUE CROSS BLUE SHIELD
01575795MedicaidNY
175120OtherNYMVP
2121252OtherAETNA

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
I20071112000170 NY Practitioner - Ophthalmology 4587752449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8340 Oswego Rd
Liverpool, NY 13090-1026
Phone (315) 622-1234

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as individual
Quality
99.19
Improvement activities
40
Cost
47.66

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery251
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marc Safran, MD PLLC CurrentSince Nov 2, 2010 Accepting new patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Jan 14, 1997 Accepting new patients
Marc Safran, MD PLLC Ophthalmology CurrentSince Nov 2, 2010 Accepting new patients

Locations

8340 Oswego Rd
Liverpool, NY 13090
Phone (315) 622-1234

Interoperability endpoints

  • Direct secure messaging: msafran28015@direct.upstate.edu
  • Direct secure messaging: msafran@clayeye.intellechartdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1740388602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901026",
            "telephone_number": "315-622-1234",
            "fax_number": "315-622-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901026",
            "telephone_number": "315-622-1234",
            "fax_number": "315-622-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFRAN",
        "first_name": "MARC",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "200315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000004734",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01575795",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "175120",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2121252",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.