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MARK E PATRON MD
NPI 1215134176
Ophthalmology in Denver, CO

Active since July 02, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4999 E KENTUCKY AVE STE 200, DENVER, CO 80246(303) 691-0777(303) 691-0041 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2026, Apr 2, 2025, Jan 29, 2021 and 1 more (4 updates tracked since 2020).

About Mark E Patron Md NPPES

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

MARK E PATRON MD (NPI 1215134176) is an individual ophthalmology provider in Denver, Colorado, licensed in Colorado (DR.0051055) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Denver, and is a graduate of Tufts University School Of Medicine (2006).

NPPES Registry Identity

NPI1215134176
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK E PATRONCredential: MD
Location Address4999 E KENTUCKY AVE STE 200Denver, CO 80246-2281
Mailing Address4999 E Kentucky Ave Ste 200Denver, CO 80246-2281 · (303) 691-0777 · Fax (303) 691-0041
Phone(303) 691-0777
Fax(303) 691-0041
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 2006
Enumeration DateJuly 2, 2007
Last NPPES UpdateJanuary 16, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1215134176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CO · DR.0051055
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License DR.0051055 (CO)
4999 E KENTUCKY AVE STE 200, Denver, CO 80246
Open in Google Maps ↗

Secondary Practice Location 1

Location 11873 S Bellaire St # 410Denver, CO 80222-4358 · Phone (303) 558-6560

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 E Patron Md 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 ID2668503657
PECOS Enrollment IDI20120828000292
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 11

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
40,801 services115 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,188 services379 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
800 services152 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.
548 services314 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
405 services253 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
356 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80246 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%343 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%97 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
100%97 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,969 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%724 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 749 patients
Patients totalRate: 0% · 749 patients
0%749 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

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

MILE HIGH RETINA, PLLC
Ophthalmology
4999 E KENTUCKY AVE STE 200
DENVER, CO 80246
Arapahoe County (303) 691-0777

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 Patron's NPI number?

The NPI number for Mark Patron is 1215134176. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Mark Patron located?

Mark Patron practices at 4999 E Kentucky Ave Ste 200, Denver, CO 80246. The listed phone number is (303) 691-0777.

What is Mark Patron's specialty?

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

Is Mark Patron enrolled in Medicare?

Yes. Mark Patron 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.

What insurance does Mark Patron accept?

Health plans from UnitedHealthcare list Mark Patron as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Patron was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.