Active NPI
Mark Edward Promersberger, M.D.
- Ophthalmology Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 19369
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202125000 | Medicaid | WV |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.62 of 100
- Quality
- 92.09
- Improvement activities
- 40
- Cost
- 75.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 149 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martinsburg Eye Associates PLLC | Ophthalmology | Current | Accepting new patients |
| Cumberland Valley Retina Consultants PC | Ophthalmology | Past | Accepting new patients |
Locations
2002 Professional Ct
Martinsburg, WV 25401
Phone (304) 267-4273
Interoperability endpoints
- 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.
-
- Ophthalmology Physician
- Martinsburg, WV
- NPI 1467538967
-
- Retina Specialist (Ophthalmology) Physician
- Hagerstown, MD
- NPI 1467429647
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.