THET THET MAR NP
NPI 1043563232
Nurse Practitioner - Family in Utica, NY

Active since October 25, 2012PECOS EnrolledAccepts Medicare Assignment
78.7/100
CMS Quality Rating
120 HOBART ST, UTICA, NY 13501(315) 798-1149(315) 734-3565 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thet Thet Mar Np NPPES

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

THET THET MAR NP (NPI 1043563232) is an individual family provider in Utica, New York, licensed in New York (F337438-1) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1043563232
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHET THET MARCredential: NP
Location Address120 HOBART STUtica, NY 13501-4308
Mailing Address120 Hobart StUtica, NY 13501-4308 · (315) 798-1149 · Fax (315) 734-3565
Fax(315) 734-3565
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 25, 2012
Last NPPES UpdateJune 24, 2013
NPI 1043563232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · F337438-1
120 HOBART ST, Utica, NY 13501

Other Identifiers 2

Medicare UPINJ400081275NY
Medicaid03571813NY

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

Thet Thet Mar Np 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 ID6800048471
PECOS Enrollment IDI20121205000149
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services18 patients

Hospital Affiliations CMS Care Compare

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

Wynn Hospital

Acute Care Hospitals · Utica, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330044
Location111 Hospital DriveUtica, NY 13502 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13501 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

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.

Hospitalist
120 HOBART ST
UTICA, NY 13501
Student in an Organized Health Care Education/Training Program
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501
Student in an Organized Health Care Education/Training Program
120 HOBART ST
UTICA, NY 13501
Emergency Medicine
120 HOBART ST
UTICA, NY 13501
Family Medicine
120 HOBART ST
UTICA, NY 13501
Nurse Practitioner (Family)
120 HOBART ST
UTICA, NY 13501

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 Thet Mar's NPI number?

The NPI number for Thet Mar is 1043563232. It was assigned to this individual provider in the NPPES registry on October 25, 2012.

Where is Thet Mar located?

Thet Mar practices at 120 Hobart St, Utica, NY 13501. The listed phone number is (315) 798-1149.

What is Thet Mar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thet Mar enrolled in Medicare?

Yes. Thet Mar 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 Thet Mar affiliated with any hospitals?

According to CMS data, Thet Mar is affiliated with Wynn Hospital.

When was this NPI record last updated?

The NPPES record for Thet Mar was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.