MARC IMMERMAN M.D.
NPI 1417967712
General Practice in Elmira, NY

Q: What is Marc Immerman's NPI number?

The NPI number for Marc Immerman is 1417967712. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Marc Immerman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Immerman was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 August 09, 2006PECOS EnrolledAccepts Medicare Assignment

1003 WALNUT ST, ELMIRA, NY 14901(607) 732-5646(607) 732-0373 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marc Immerman M.d. NPPES

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

MARC IMMERMAN M.D. (NPI 1417967712) is an individual general practice provider in Elmira, New York, licensed in New York (174214) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Arnot Ogden Medical Center, and is a graduate of University Of Vermont College Of Medicine (1985).

NPPES Registry Identity

NPI1417967712

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameMARC IMMERMANCredential: M.D.

Location Address1003 WALNUT STElmira, NY 14901-1007

Mailing Address1003 Walnut StElmira, NY 14901-1007 · (607) 732-5646 · Fax (607) 732-0373

Phone(607) 732-5646

Fax(607) 732-0373

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1985

Enumeration DateAugust 9, 2006

Last NPPES UpdateFebruary 6, 2018

✔ NPI 1417967712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 174214

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedEmergency MedicineTaxonomy 207P00000X · License 174214 (NY)

1003 WALNUT ST, Elmira, NY 14901

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Other Identifiers 2

Medicaid01144467NY

Other000915192004NY · Bcbs

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

Marc Immerman 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 ID4183656077

PECOS Enrollment IDI20050831000185

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.

Hospital Affiliations CMS Care Compare

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

Arnot Ogden Medical Center

Acute Care Hospitals · Elmira, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330090

Location600 Roe AvenueElmira, NY 14905 · Chemung County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

OLIVIA SPADAFORA LMSW

Social Worker (Clinical)