MARK FLUGMAN M.D.
NPI 1013901024
Ophthalmology in Rockville Centre, NY

Q: What is Mark Flugman's NPI number?

The NPI number for Mark Flugman is 1013901024. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Q: What is Mark Flugman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Flugman was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 06, 2005PECOS EnrolledAccepts Medicare Assignment

78.09/100

CMS Quality Rating

176 N VILLAGE AVE, SUITE # 2A, ROCKVILLE CENTRE, NY 11570(516) 766-6400(516) 766-6457 Get Directions Write a Review

NPPES record last updated: January 10, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mark Flugman M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK FLUGMAN M.D. (NPI 1013901024) is an individual ophthalmology provider in Rockville Centre, New York, licensed in New York (141643) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1013901024

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMARK FLUGMANCredential: M.D.

Location Address176 N VILLAGE AVE, SUITE # 2ARockville Centre, NY 11570-3800

Mailing Address176 N Village Ave, Suite # 2aRockville Centre, NY 11570-3800 · (516) 766-6400 · Fax (516) 766-6457

Phone(516) 766-6400

Fax(516) 766-6457

Sole ProprietorYes

Medical School CMSOtherGraduated 1978

Enumeration DateSeptember 6, 2005

Last NPPES UpdateJanuary 10, 2019

✔ NPI 1013901024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in NY · 141643

Definition

An 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.

176 N VILLAGE AVE, Rockville Centre, NY 11570

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Other Identifiers 5

Other0092460NY · Ghi Id #

Other0098128NY · Aetna Us Healthcare #

Other6531NY · Vytra Id #

OtherAS677NY · Oxford Id #

Medicaid00831829NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Flugman M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729100185

PECOS Enrollment IDI20101104000457

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

1,177 services787 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

861 services605 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

624 services302 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

129 services104 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

80 services80 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

35 services35 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330198

LocationOne Healthy WayOceanside, NY 11572 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11570 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Cost

26.99

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

99%190 patients4/55-star benchmark: 100%

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery

100%30 patients5/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

61%31 patients3/55-star benchmark: 87%

Complications After Cataract Surgery

Lower rates are better for this measure.

0%63 patients

Diabetes: Eye Exam

100%272 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

100%72 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%3,036 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

100%1,093 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

95%78 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 966 patients

Patients screened: 100% · 966 patients

100%45 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

99%70 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%64 patients

Tobacco Use and Help with Quitting Among Adolescents

97%35 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,146 patients

Patients totalRate: 0% · 1,146 patients

0%1,146 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEWIS BRESLAU AUD

Audiologist

176 N VILLAGE AVE
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 678-1804

MARK FLUGMAN, M.D., P.C.

Ophthalmology

176 N VILLAGE AVE, SUITE # 2A
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-6400

KERI MICA LCSW PC

Social Worker (Clinical)

176 N VILLAGE AVE, SUITE 2E
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 410-7138

QIAO ZHANG M.D.

Anesthesiology

176 N VILLAGE AVE, 2D
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 705-1200

CLARA MAYORAL MD

Specialist

176 N VILLAGE AVE, SUITE 1D
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-4094

DR. SASSAN MOHTADI MD

Anesthesiology

176 N VILLAGE AVE, SUITE 2D
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 764-2115

STEPHEN HIRSCH, M.D., P.C.

Urology

176 N VILLAGE AVE, 1C
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 766-0404

MR. RICHARD JAMES SCALISE OTR, CHT

Occupational Therapist (Hand)

176 N VILLAGE AVE, SUITE 2C
ROCKVILLE CENTRE, NY 11570

Nassau County (516) 255-4263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Flugman's NPI number?

The NPI number for Mark Flugman is 1013901024. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Mark Flugman located?

Mark Flugman practices at 176 N Village Ave Suite # 2A, Rockville Centre, NY 11570. The listed phone number is (516) 766-6400.

What is Mark Flugman's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Flugman enrolled in Medicare?

Yes. Mark Flugman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mark Flugman affiliated with any hospitals?

According to CMS data, Mark Flugman is affiliated with Mount Sinai South Nassau.

When was this NPI record last updated?

The NPPES record for Mark Flugman was last updated on January 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.