MARK SPITZER MD
NPI 1306819438
Obstetrics & Gynecology in New Hyde Park, NY

Q: What is Mark Spitzer's NPI number?

The NPI number for Mark Spitzer is 1306819438. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Q: What is Mark Spitzer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Spitzer was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 February 09, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

1991 MARCUS AVE, SUITE M215, NEW HYDE PARK, NY 11042(516) 355-7802(516) 467-1387 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Mark Spitzer Md NPPES

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

MARK SPITZER MD (NPI 1306819438) is an individual obstetrics & gynecology provider in New Hyde Park, New York, licensed in New York (143098) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1979).

NPPES Registry Identity

NPI1306819438

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameMARK SPITZERCredential: MD

Location Address1991 MARCUS AVE, SUITE M215New Hyde Park, NY 11042-2057

Mailing Address14 Meadow LnLawrence, NY 11559-1828 · (516) 355-7802 · Fax (516) 467-1387

Phone(516) 355-7802

Fax(516) 467-1387

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1979

Enumeration DateFebruary 9, 2006

Last NPPES UpdateMarch 24, 2017

✔ NPI 1306819438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 143098

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1991 MARCUS AVE, New Hyde Park, NY 11042

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Other Identifiers 2

Medicare UPINB-80329NY

Medicaid00776852NY

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 Spitzer 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 ID5496706103

PECOS Enrollment IDI20050209000865

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 6

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.

Exam of external female genitals using an endoscope 56820

This procedure involves utilizing a special tool called an endoscope to view the external areas typically covered by underwear. It helps doctors identify any abnormalities or issues, ensuring your health and well-being.

355 services207 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.

308 services181 patients

Smear for infectious agents 87210

A smear for infectious agents is a simple test done to identify harmful microorganisms in your body. A sample is taken from your body, spread thinly onto a slide, and examined under a microscope. This helps in diagnosing various infections and diseases.

163 services113 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

36 services36 patients

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.

18 services17 patients

Biopsy of vagina and cervix using an endoscope 57421

A biopsy of the lower female reproductive system using an endoscope involves a small camera being inserted to view the area and collect tissue samples. This is done to check for abnormal cells or conditions. It's a common, safe procedure.

16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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.

91.25/100

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

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

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.

BOB CHANG

Physical Therapist

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 467-8730

CARYLANN HADJIYANE M.D.

Internal Medicine (Gastroenterology)

1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042

Nassau County (516) 365-4949

NINA SKARIA NP

Pediatrics (Pediatric Rheumatology)

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 472-3700

JOAN STERRETT LMSW

Social Worker

1991 MARCUS AVE, M201
NEW HYDE PARK, NY 11042

Nassau County (718) 484-5000

MRS. JESSICA MARIE MENNELLA AGPCNP-C

Nurse Practitioner (Adult Health)

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (646) 680-4081

EUGENE S BONAPACE JR. M.D.

Internal Medicine (Gastroenterology)

1991 MARCUS AVE, SUITE 101
NEW HYDE PARK, NY 11042

Nassau County (516) 365-4949

DR. TONI WEBSTER D.O.

Student in an Organized Health Care Education/Training Program

1991 MARCUS AVE, M100
LAKE SUCCESS, NY 11042

Nassau County (516) 472-3650

DR. REENA LOONA MD

Internal Medicine

1991 MARCUS AVE
NEW HYDE PARK, NY 11042

Nassau County (516) 354-1600

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 Spitzer's NPI number?

The NPI number for Mark Spitzer is 1306819438. It was assigned to this individual provider in the NPPES registry on February 9, 2006.

Where is Mark Spitzer located?

Mark Spitzer practices at 1991 Marcus Ave Suite M215, New Hyde Park, NY 11042. The listed phone number is (516) 355-7802.

What is Mark Spitzer's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mark Spitzer enrolled in Medicare?

Yes. Mark Spitzer 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.

When was this NPI record last updated?

The NPPES record for Mark Spitzer was last updated on March 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.