Mark Terrence Fay, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD16253 Issued in OR

Practice address

2640 Biehn St
Klamath Falls, OR 97601-1181

Phone

(541) 884-3148

Fax

(541) 884-3373

NPI assigned

Mar 24, 2006

Last updated

Feb 11, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OR, CA2 enrollments

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 2

Specialty

Ophthalmology

Education

University of Washington School of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klamath Ophthalmology PCGroup PAC ID 4284620006, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Merit-based Incentive Payment System (MIPS)

Final score

90.41 of 100Reported as individual

Quality

94.47

Improvement activities

40

Cost

75.42

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: 000437@lake.cernerdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Klamath Ophthalmology PC

  dba Klamath Eye Center

  • Ophthalmology Physician
  • Klamath Falls, OR
  • NPI 1730148271
  Medicare reassignment Care Compare group
• Klamath Ophthalmology PC

  dba Benson Eye Center

  • Ophthalmology Physician
  • Klamath Falls, OR
  • NPI 1962745414
  Authorized official Same address or phone
• Klamath Ophthalmology, PC

  dba Lakeview Eye Center

  • Optometrist
  • Lakeview, OR
  • NPI 1730586918
  Authorized official Same address or phone
• Klamath Surgery Center LLC

  dba Klamath Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Klamath Falls, OR
  • NPI 1205871050

  Ophthalmology

  NPD (past)
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1972563781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 BIEHN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011181",
            "telephone_number": "541-884-3148",
            "fax_number": "541-884-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 BIEHN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011181",
            "telephone_number": "541-884-3148",
            "fax_number": "541-884-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Thomason Ln",
            "address_purpose": "LOCATION",
            "city": "Alturas",
            "state": "CA",
            "postal_code": "961013150",
            "country_code": "US",
            "telephone_number": "530-233-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAY",
        "first_name": "MARK",
        "middle_name": "TERRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G58765",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD16253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "F2640501647611",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A002",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "XPY094350",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "004571003",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042937",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180011820",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fay@klamatheyecenter.com",
            "affiliation": "N",
            "address_1": "2640 Biehn St",
            "city": "Klamath Falls",
            "state": "OR",
            "country_code": "US",
            "postal_code": "976011181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "000437@lake.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Lake Health District Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "700 S J St",
            "city": "Lakeview",
            "state": "OR",
            "country_code": "US",
            "postal_code": "976301623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordon Matthew Falconio
• Tamera Rae Farmer-Browder
• Amanda Paige Faust
• Jill Sara Fay, M.D.
• Jonathan Dean Fay, M.D.
• Brittany Leah Ferguson, RN
• Jacob Ferrer
• Justin Kerry Fields
• Finding Pearls
• Mark Richard Finlay, PHARMD

• Ophthalmology Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.

Verify at the official NPI Registry.