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MARK ANTHONY VERRA MD
NPI 1245214063
Ophthalmology in Saratoga Springs, NY

Active since December 05, 2005PECOS Enrolled
65.44/100
CMS Quality Rating
254 CHURCH ST, SUITE 1, SARATOGA SPRINGS, NY 12866(518) 587-8400(518) 587-4155 Get Directions Write a Review

NPPES record last updated: January 27, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark Anthony Verra Md NPPES

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

MARK ANTHONY VERRA MD (NPI 1245214063) is an individual ophthalmology provider in Saratoga Springs, New York, licensed in New York (1898671) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245214063
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK ANTHONY VERRACredential: MD
Location Address254 CHURCH ST, SUITE 1Saratoga Springs, NY 12866-1076
Mailing Address254 Church St, Suite 1Saratoga Springs, NY 12866-1076 · (518) 587-8400 · Fax (518) 587-4155
Phone(518) 587-8400
Fax(518) 587-4155
Sole ProprietorNo
Enumeration DateDecember 5, 2005
Last NPPES UpdateJanuary 27, 2010
✔ NPI 1245214063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NY · 1898671
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.
254 CHURCH ST, Saratoga Springs, NY 12866
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Other Identifiers 3

Medicare PINCC1853NY
Medicare UPINF20262
Medicaid01341340NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Anthony Verra Md 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 Reassignment

Medicare enrollment records show Mark Verra reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saratoga Hospital
0.1 mi
General Acute Care Hospital
211 CHURCH ST
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 456 clinicians in this Medicare group
NPI 1073569331 (518) 587-3222

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 12866 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
Percentage of patients aged 18 years and older with a diagnosis of uncomplicated cataract who had cataract surgery and no significant ocular conditions impacting the visual outcome of surgery and had best-corrected visual acuity of 20/40 or better (distance…
24%253 patients
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
60%291 patients3/55-star benchmark: 95%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
97%450 patients4/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
34%188 patients2/55-star benchmark: 99%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…
99%86 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
69%128 patients3/55-star benchmark: 100%
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.
62%5,476 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
18%1,034 patients1/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
13%1,438 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%649 patients2/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 83% · 2,650 patients
Patients tobacco: 80% · 2,650 patients
50%141 patients3/55-star benchmark: 98%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
60%549 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 2,342 patients
0%2,342 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 15

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

CONNIE LAVERY REGISTERED NURSE
Counselor (Addiction (Substance Use Disorder))
254 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-8800
SHIRLEYAN EBERT LCSW
Social Worker (Clinical)
254 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-8800
SARATOGA SCHENECTADY GASTROENTEROLOGY ASSOCIATES, P.C.
Internal Medicine (Gastroenterology)
254 CHURCH ST, 2ND FLOOR
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 831-1500
MR. RICHARD ROBERT CHECCA OPTICIAN
Technician/Technologist (Optician)
254 CHURCH ST, EYE CARE OPTICALS
SARATOGA SPR, NY 12866
Saratoga County (518) 587-8111
EDWARD J. MORCONE CASAC
Counselor (Addiction (Substance Use Disorder))
254 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-8800
CATHERINE M WELDEN MSW
Counselor (Addiction (Substance Use Disorder))
254 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-8800
DEBORAH L. GREENE LCSW
Social Worker (Clinical)
254 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-8800
FRANCOMANO DAVISON & CHECCA INC.
Eyewear Supplier
254 CHURCH ST
SARATOGA SPRINGS, NY 12866
Saratoga County (518) 587-8111

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 Verra's NPI number?

The NPI number for Mark Verra is 1245214063. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Mark Verra located?

Mark Verra practices at 254 Church St Suite 1, Saratoga Springs, NY 12866. The listed phone number is (518) 587-8400.

What is Mark Verra's specialty?

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

Is Mark Verra enrolled in Medicare?

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

Which organization bills Medicare for Mark Verra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Verra reassigns Medicare benefits to Saratoga Hospital (Saratoga Springs, NY). The 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 Verra'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 Verra was last updated on January 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.