DR. MARK MACHER M.D.
NPI 1184664187
Radiology - Radiation Oncology in Edison, NJ

Active since June 07, 2006PECOS Enrolled
65 JAMES ST, EDISON, NJ 08820(732) 321-7167(732) 906-4915 Get Directions Write a Review

NPPES record last updated: July 30, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mark Macher M.d. NPPES

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

DR. MARK MACHER M.D. (NPI 1184664187) is an individual radiation oncology provider in Edison, New Jersey, licensed in New Jersey (MA47953) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184664187
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. MARK MACHERCredential: M.D.
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address900 Rt 70 ELakewood, NJ 08701-5940 · (732) 512-7990 · Fax (732) 409-4915
Fax(732) 906-4915
Sole ProprietorNo
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 30, 2012
✔ NPI 1184664187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in NJ · MA47953
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
65 JAMES ST, Edison, NJ 08820

Other Identifiers 4

Medicaid0760005NJ
Medicare UPINC57072NJ
Medicare ID-Type UnspecifiedMA401429NJ · Provider Id
Medicare ID-Type Unspecified401429CLGNJ · Individual Id#

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Macher M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Macher reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1944 STATE ROUTE 33, SUITE 101
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 18 clinicians in this Medicare group
Radiation Oncology
900 ROUTE 70 EAST
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Urology
67 ROUTE 37 WEST, SUITE I RIVERWOOD II
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
81%21 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%29 patients5/55-star benchmark: 100%
Oncology: Medical and Radiation - Pain Intensity Quantified
Percentage of patient visits, regardless of patient age, with a diagnosis of cancer currently receiving chemotherapy or radiation therapy in which pain intensity is quantified
100%36 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.

Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820
Psychologist
65 JAMES ST
EDISON, NJ 08820

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 Macher's NPI number?

The NPI number for Mark Macher is 1184664187. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Mark Macher located?

Mark Macher practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7167.

What is Mark Macher's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Mark Macher enrolled in Medicare?

Yes. Mark Macher is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Macher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Macher reassigns Medicare benefits to 3 organizations: Atlantic Coast Urology,pa (Neptune, NJ), Shore Point Medical Associates LLC (Lakewood, NJ) and Urologic Health Center Of N.J. P.C. (Toms River, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Macher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Macher was last updated on July 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.