Individual provider Active NPI

Mark D Strasser, MD

  • Otolaryngology Physician
  • Prescott, AZ
National Provider Identifier
1811986128
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
28538 Issued in AZ
Practice address
1125 W Iron Springs Rd
Prescott, AZ 86305-1623
Phone
(928) 778-9190
Fax
(928) 778-3005
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 28538 AZ Primary
Surgery Physician 208600000X 28538 AZ
Audiologist 231H00000X 28538 AZ

Addresses

Primary practice location

1125 W Iron Springs Rd
Prescott, AZ 86305-1623

Mailing address

1125 W Iron Springs Rd
Prescott, AZ 86305-1623
Phone (928) 778-9190

Other identifiers 1

IdentifierTypeStateIssuer
540519MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110519000058 AZ Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 6103986658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Arizona College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Ear Nose and Throat PLLCGroup PAC ID 3779562749, 4 clinicians

Practice addresses (Care Compare)

1125 Iron Sprinigs Rd
Prescott, AZ 86305-1623

1125 W Iron Springs Rd
Prescott, AZ 86305-1623
Phone (928) 778-9190

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

Merit-based Incentive Payment System (MIPS)

Final score
79.84 of 100Reported as group
Quality
59.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux15
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Ear Nose & Throat PLLC CurrentSince Nov 1, 2000 Accepting new patients
David a. Holmes, M.a., P.C. Past Accepting new patients

Locations

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

1125 W Iron Springs Rd
Prescott, AZ 86305
Phone (928) 778-9190

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 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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1811986128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W IRON SPRINGS RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051623",
            "telephone_number": "928-778-9190",
            "fax_number": "928-778-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W IRON SPRINGS RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051623",
            "telephone_number": "928-778-9190",
            "fax_number": "928-778-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRASSER",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AZ",
            "license": "28538",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "28538",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AZ",
            "license": "28538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "540519",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.