DR. MARK DOUGLAS FREY M.D.
NPI 1336116797
Otolaryngology in Canton, NY

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
6119 US HIGHWAY 11, CANTON, NY 13617(315) 261-5850 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2024, Aug 21, 2024, Aug 7, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Mark Douglas Frey M.d. NPPES

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

DR. MARK DOUGLAS FREY M.D. (NPI 1336116797) is an individual otolaryngology provider in Canton, New York, licensed in New York (330710) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Canton-potsdam Hospital, and is a graduate of University Of Nebraska College Of Medicine (1982).

NPPES Registry Identity

NPI1336116797
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. MARK DOUGLAS FREYCredential: M.D.
Location Address6119 US HIGHWAY 11Canton, NY 13617-3991
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1982
Enumeration DateMarch 3, 2006
Last NPPES UpdateSeptember 12, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1336116797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in NY · 330710 Licensed in NE · 21783
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Pediatric OtolaryngologyTaxonomy 207YP0228X · License 330710 (NY)
6119 US HIGHWAY 11, Canton, NY 13617

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

Dr. Mark Douglas Frey M.d. 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 ID1052376449
PECOS Enrollment IDI20240820002760
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.

Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
715 services54 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.
364 services289 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
116 services116 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
44 services43 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
39 services38 patients
Simple control of nose bleed 30901
Simple control of a nose bleed involves leaning forward slightly to prevent blood from flowing down the throat. Pinch your nostrils together and breathe through your mouth. This pressure can help the blood clot and stop the bleeding. Avoid lying down or blowing your nose.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13617 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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Nurse Practitioner
6119 US HIGHWAY 11
CANTON, NY 13617
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
6119 US HIGHWAY 11
CANTON, NY 13617
Psychiatry & Neurology (Neurology)
6119 US HIGHWAY 11
CANTON, NY 13617
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6119 US HIGHWAY 11
CANTON, NY 13617
Orthopaedic Surgery
6119 US HIGHWAY 11
CANTON, NY 13617
Physician Assistant
6119 US HIGHWAY 11
CANTON, NY 13617
Internal Medicine (Rheumatology)
6119 US HIGHWAY 11
CANTON, NY 13617
Nurse Practitioner (Family)
6119 US HIGHWAY 11
CANTON, NY 13617

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 Frey's NPI number?

The NPI number for Mark Frey is 1336116797. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Mark Frey located?

Mark Frey practices at 6119 Us Highway 11, Canton, NY 13617. The listed phone number is (315) 261-5850.

What is Mark Frey's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Mark Frey enrolled in Medicare?

Yes. Mark Frey 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.

Is Mark Frey affiliated with any hospitals?

According to CMS data, Mark Frey is affiliated with Canton-Potsdam Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Mark Frey was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.