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

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: November 01, 2026.

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
Open in Google Maps ↗

Other Identifiers 2

Medicaid01144467NY
Other000915192004NY · Bcbs

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Marc Immerman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arnot Ogden Medical Center
0.1 mi
General Acute Care Hospital
600 ROE AVE
Elmira, NY 14905
  • Reassigned Medicare billing, New York enrollment
  • 245 clinicians in this Medicare group
NPI 1083605661 (607) 737-4100
Chemung-Schuyler Counties Chapter, Nysarc, Inc.
1.4 mi
Developmental Disabilities
711 SULLIVAN ST
Elmira, NY 14901
  • Reassigned Medicare billing, New York enrollment
  • 18 clinicians in this Medicare group
NPI 1174146401 (607) 535-6934
Nes Medical Services Of New York PC
1.5 mi
Emergency Medicine
555 SAINT JOSEPHS BLVD
Elmira, NY 14901
  • Reassigned Medicare billing, New York enrollment
  • 72 clinicians in this Medicare group
NPI 1831742816 (607) 737-7806

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
1003 WALNUT ST
ELMIRA, NY 14901
Chemung County (315) 380-7929
CAROLYN CHAFFEE RD
Dietitian, Registered
1003 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 732-5646
NUTRITION SERVICE OF UPSTATE NEW YORK, LLC
Dietitian, Registered
1003 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 732-5646
RACHEL LAUGHLIN RD
Dietitian, Registered
1003 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 732-5646
BRUCE JOHN BRENNAN
Dietitian, Registered
1003 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 732-5646
SOPHIA BEZIRGANIAN MD
Psychiatry & Neurology (Psychiatry)
1003 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 732-5646
MRS. AMY ELIZABETH ENRIGHT RD
Dietitian, Registered
1003 WALNUT ST
ELMIRA, NY 14901
Chemung County (607) 732-5646

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 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.

Where is Marc Immerman located?

Marc Immerman practices at 1003 Walnut St, Elmira, NY 14901. The listed phone number is (607) 732-5646.

What is Marc Immerman's specialty?

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

Is Marc Immerman enrolled in Medicare?

Yes. Marc Immerman 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.

Which organizations bill Medicare for Marc Immerman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Immerman reassigns Medicare benefits to 3 organizations: Arnot Ogden Medical Center (Elmira, NY), Chemung-Schuyler Counties Chapter, Nysarc, Inc. (Elmira, NY) and Nes Medical Services Of New York PC (Elmira, NY). Each 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 Marc Immerman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Marc Immerman affiliated with any hospitals?

According to CMS data, Marc Immerman is affiliated with Arnot Ogden Medical Center.

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.