DR. MARCUS FAWZY GEORGE ESTAFANOUS M.D.
NPI 1437151743
Ophthalmology - Retina Specialist in Farrell, PA

Q: What is Marcus Estafanous's NPI number?

The NPI number for Marcus Estafanous is 1437151743. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Marcus Estafanous's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Estafanous was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment

86.58/100

CMS Quality Rating

350 SHARON NEW CASTLE RD, FARRELL, PA 16121(724) 248-2020(724) 936-2021 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 18, 2025, Mar 10, 2025, Jun 1, 2023 and 5 more (8 updates tracked since 2020).

On this page

About Dr. Marcus Fawzy George Estafanous M.d. NPPES

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

DR. MARCUS FAWZY GEORGE ESTAFANOUS M.D. (NPI 1437151743) is an individual retina specialist in Farrell, Pennsylvania, licensed in Pennsylvania (MD421528) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Edgewood Surgical Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1437151743

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. MARCUS FAWZY GEORGE ESTAFANOUSCredential: M.D.

Location Address350 SHARON NEW CASTLE RDFarrell, PA 16121-1576

Mailing Address350 Sharon New Castle RdFarrell, PA 16121-1576 · (724) 248-2020

Phone(724) 248-2020

Fax(724) 936-2021

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1997

Enumeration DateJune 1, 2005

Last NPPES UpdateMarch 18, 20258 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1437151743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Licenses✔ Licensed in PA · MD421528✔ Licensed in OH · 35.082776

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License MD421528 (PA), 35082776 (OH)

350 SHARON NEW CASTLE RD, Farrell, PA 16121

Open in Google Maps ↗

Secondary Practice Locations 4

Location 124 Doctors Ln Ste 101Clarion, PA 16214-8568 · Phone (724) 248-2020 · Fax (724) 936-2021

Location 250 Waterford PikeBrookville, PA 15825-2518 · Phone (814) 849-6540

Location 32374 Village Common Dr Ste 100Erie, PA 16506-7201 · Phone (724) 248-2020

Location 41073 S Main StMeadville, PA 16335-3129 · Phone (724) 248-2020

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, MedMutual.Insurance ›

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

Dr. Marcus Fawzy George Estafanous 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 ID1557497013

PECOS Enrollment IDI20100414000006, I20110110000713

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

Medicare enrollment records show Marcus Estafanous reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Care Group, Inc

Same address

Ophthalmology

350 SHARON NEW CASTLE RD
Farrell, PA 16121

Reassigned Medicare billing, Ohio and Pennsylvania enrollments

NPI 1053039636 (724) 248-2020

Laurel Eye Clinic

72 mi

Optometrist

50 WATERFORD PIKE
Brookville, PA 15825

Reassigned Medicare billing, Pennsylvania enrollment
15 clinicians in this Medicare group

NPI 1003878729 (814) 849-8344

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

Areas of Expertise CMS Part B claims 14

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

9,120 services42 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,300 services707 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,596 services355 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,336 services173 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.

1,293 services353 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

506 services325 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

284 services100 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.

191 services191 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

175 services175 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

130 services40 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.

116 services90 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

55 services46 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

22 services20 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Edgewood Surgical Hospital

Acute Care Hospitals · Transfer, PA

OwnershipPhysician

CMS Certification Number390307

Location239 Edgewood Drive ExtensionTransfer, PA 16154 · Mercer County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16121 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

86.58/100

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

Scored as part of a group practice

Quality

100

Promoting Interoperability

100

Improvement Activities

Cost

55.29

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.

RETINA CARE GROUP, INC

Ophthalmology