Individual provider Active NPI

Mark Edward Promersberger, M.D.

  • Ophthalmology Physician
  • Martinsburg, WV
National Provider Identifier
1760415228
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
19369 Issued in WV
Practice address
2002 Professional CT
Martinsburg, WV 25401-8808
Phone
(304) 267-4273
Fax
(304) 267-2135
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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 19369 WV Primary

Addresses

Primary practice location

2002 Professional CT
Martinsburg, WV 25401-8808

Mailing address

2002 Professional CT
Martinsburg, WV 25401-8808
Phone (304) 267-4273

Other identifiers 1

IdentifierTypeStateIssuer
0202125000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20111015000065 WV Practitioner - Ophthalmology 8224107479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martinsburg Eye Associates PLLCGroup PAC ID 8325117575, 3 clinicians

Practice addresses (Care Compare)

2002 Professional Court
Martinsburg, WV 25401-8808

2002 Professional CT
Martinsburg, WV 25401-8808
Phone (304) 267-4273

Hospital & facility affiliations

  • Berkeley Medical Center Hospital, Martinsburg, WV, CCN 510008

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
92.09
Improvement activities
40
Cost
75.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery149

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Martinsburg Eye Associates PLLC Ophthalmology CurrentSince Jul 1, 2000 Accepting new patients
Cumberland Valley Retina Consultants PC Ophthalmology PastSince Mar 1, 2013 Accepting new patients

Locations

2002 Professional Ct
Martinsburg, WV 25401
Phone (304) 267-4273

Interoperability endpoints

  • Direct secure messaging: mpromersberger@mea.intellechartdirect.net

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.

Hospital & facility affiliations 1

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1760415228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 PROFESSIONAL CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018808",
            "telephone_number": "304-267-4273",
            "fax_number": "304-267-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 PROFESSIONAL CT",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254018808",
            "telephone_number": "304-267-4273",
            "fax_number": "304-267-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROMERSBERGER",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "19369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202125000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.