MARK JUSTIN WEISS MD NPI 1003801481

Ophthalmology in Tulsa, OK

Individual Male Ophthalmology PECOS Enrolled Accepts Medicare Years Experience 52

About MARK WEISS

Mark Weiss is a provider established in Tulsa, Oklahoma and his medical specialization is ophthalmology with more than 52 years of experience. The NPI number of Mark Weiss is 1003801481 and was assigned on September 2005. The practitioner's primary taxonomy code is 207W00000X with license number 9126 (OK). The provider is registered as an individual and his NPI record was last updated 12 years ago. Mark Weiss is enrolled in PECOS and registered with Medicare accepting claims assignment.

NPI

1003801481

Provider Name MARK JUSTIN WEISS MD
Provider Location Address1717 S UTICA AVE STE 107 TULSA, OK 74104
Provider Mailing Address1717 S UTICA AVE STE 107 TULSA, OK 74104
GenderMale
NPI Entity TypeIndividual
Medical School NameTEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1968
Is Sole Proprietor?N/A
Is Organization Subpart?N/A
Enumeration Date09-13-2005
Last Update Date07-08-2007

Primary Taxonomy

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.9126
License StateOK
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Business Address

MARK JUSTIN WEISS MD
1717 S UTICA AVE
STE 107
TULSA, OK
ZIP 74104
Phone: (918) 742-2428
Fax: (918) 742-8435

Get Directions

Mailing Address

MARK JUSTIN WEISS MD
1717 S UTICA AVE
STE 107
TULSA, OK
ZIP 74104
Phone: (918) 742-2428
Fax: (918) 742-8435

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9436158599
PECOS Enrollment IDI20100805001000
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
EHR Incentive Program Yes "Electronic Health Records (EHR) Incentive Programs"
The Medicare EHR Incentive Program eligible professionals ended with the 2016 reporting period. Starting in 2017, eligible clinicians will report to the Quality Payment Program (QPP).

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1120Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • 625Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 376Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • 295Measurement of field of vision during daylight conditions (HCPCS:92083)
  • 52Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
D35392MEDICARE UPIN (02)

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1225023617 GERARD J HUNTER MD
Individual
Ophthalmology1717 S UTICA AVE STE 101 THE EYE INSTITUTE INC
TULSA, OK 74104
(918) 747-0289
1528575545MISS SAMANTHA JOELLEN MYERS APRN
Individual
Nurse Practitioner (Family)1717 S UTICA AVE STE A
TULSA, OK 74104
(918) 748-7557
1730174954 JOHN MATTHEW ROBERTS JR. D.O
Individual
Ophthalmology1717 S UTICA AVE SUITE 103 THE EYE INSTITUTE INC
TULSA, OK 74104
(918) 743-2319

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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