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MARK LEO MCDERMOTT MD
NPI 1326085820
Ophthalmology in Detroit, MI

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
90.09/100
CMS Quality Rating
KRESGE EYE INSTITUTE, 4717 ST ANTOINE, DETROIT, MI 48201(313) 577-8900(313) 577-0700 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Leo Mcdermott Md NPPES

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

MARK LEO MCDERMOTT MD (NPI 1326085820) is an individual ophthalmology provider in Detroit, Michigan, licensed in Michigan (4301054291) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1983).

NPPES Registry Identity

NPI1326085820
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK LEO MCDERMOTTCredential: MD
Location AddressKRESGE EYE INSTITUTE, 4717 ST ANTOINEDetroit, MI 48201
Mailing Address1560 East Maple Road, Suite 400-credentialingTroy, MI 48083-1189 · (248) 581-5976 · Fax (248) 581-5640
Phone(313) 577-8900
Fax(313) 577-0700
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1983
Enumeration DateJune 1, 2006
Last NPPES UpdateMay 18, 2016
✔ NPI 1326085820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MI · 4301054291
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.
KRESGE EYE INSTITUTE, Detroit, MI 48201
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN0P30630096MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Leo Mcdermott 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 ID7719908813
PECOS Enrollment IDI20051216000538
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.

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.
264 services154 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.
206 services197 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
43 services40 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
30 services30 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.
27 services27 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

90.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.56
Promoting Interoperability100
Improvement Activities40
Cost54.6

Reported Quality Measures

Breast Cancer Screening
5%699 patients1/55-star benchmark: 93%
Cervical Cancer Screening
4%542 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
12%1,274 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
32%223 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
63%379 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
89%377 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
82%3,025 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%1,023 patients1/55-star benchmark: 100%
HIV Screening
2%1,081 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
3%2,041 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
1%1,979 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%2,569 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 2% · 1,535 patients
2%1,535 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
3%299 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%439 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,084 patients
Patients totalRate: 0% · 1,085 patients
0%1,085 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 2

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

MARK S JUZYCH MD, MHSA
Ophthalmology
KRESGE EYE INSTITUTE, 4717 ST ANTOINE
DETROIT, MI 48201
Wayne County (313) 577-8900
ANJU GOYAL MD
Ophthalmology
KRESGE EYE INSTITUTE, 4717 ST ANTOINE
DETROIT, MI 48201
Wayne County (313) 577-8900

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 Mcdermott's NPI number?

The NPI number for Mark Mcdermott is 1326085820. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Mark Mcdermott located?

Mark Mcdermott practices at Kresge Eye Institute 4717 St Antoine, Detroit, MI 48201. The listed phone number is (313) 577-8900.

What is Mark Mcdermott's specialty?

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

Is Mark Mcdermott enrolled in Medicare?

Yes. Mark Mcdermott 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 Mcdermott accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Mark Mcdermott 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.

Is Mark Mcdermott affiliated with any hospitals?

According to CMS data, Mark Mcdermott is affiliated with Harper University Hospital.

When was this NPI record last updated?

The NPPES record for Mark Mcdermott was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.