Individual provider Active NPI

Mark Davidson, MD

  • Surgery Physician
  • Oneonta, NY
National Provider Identifier
1790750560
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
220857 Issued in NY
Practice address
449 Main St
Oneonta, NY 13820-2028
Phone
(607) 432-5680
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 220857 NY Primary

Addresses

Primary practice location

449 Main St
Oneonta, NY 13820-2028

Mailing address

449 Main St
Oneonta, NY 13820-2028
Phone (607) 432-5680

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
I20060106000570 NY Practitioner - General Surgery 2668495433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of Ny Upstate Medical University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians

Practice addresses (Care Compare)

1 Associate Dr
Oneonta, NY 13820-2266
Phone (607) 433-6300

1 Norton Ave
Oneonta, NY 13820-2629
Phone (607) 547-3456

178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456

449 Main St
Oneonta, NY 13820-2028
Phone (607) 432-5680

Hospital & facility affiliations

  • Bassett Healthcare Hospital, Cooperstown, NY, CCN 330136
  • Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085
  • O'Connor Hospital Hospital, Delhi, NY, CCN 331305

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy103
Hernia repair - groin (open)15
Upper gastrointestinal (GI) endoscopy for acid reflux37
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions38
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Imogene Bassett Hospital CurrentSince Apr 1, 2010 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 1, 2010 Accepting new patients

Locations

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

7 Associate Dr
Oneonta, NY 13820
Phone (607) 432-5680

449 Main St
Oneonta, NY 13820
Phone (607) 432-5680

438 Main St
Oneonta, NY 13820
Phone (607) 432-2437

Interoperability endpoints

  • Direct secure messaging: mdavidson6235@bassett.direct-ci.net

Organizations & group practices 9

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 3

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1790750560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202028",
            "telephone_number": "607-432-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 MAIN ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202028",
            "telephone_number": "607-432-5680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "220857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.