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DR. MARK A HEALEY M.D
NPI 1477584738
Surgery in Potsdam, NY

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
25 COTTAGE ST, POTSDAM, NY 13676(315) 265-1055(315) 261-5043 Get Directions Write a Review

NPPES record last updated: March 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2017, Jun 20, 2016 (2 updates tracked since 2016).

About Dr. Mark A Healey M.d NPPES

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

DR. MARK A HEALEY M.D (NPI 1477584738) is an individual surgery provider in Potsdam, New York, licensed in New York (285052) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Queen's School Of Medicine (1986).

NPPES Registry Identity

NPI1477584738
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MARK A HEALEYCredential: M.D
Location Address25 COTTAGE STPotsdam, NY 13676-2196
Mailing Address50 Leroy St, Suite 100Potsdam, NY 13676-1786 · (315) 265-1055 · Fax (315) 261-5043
Phone(315) 265-1055
Fax(315) 261-5043
Sole ProprietorNo
Medical School CMSQueen's School Of MedicineGraduated 1986
Enumeration DateJuly 5, 2006
Last NPPES UpdateMarch 3, 20172 updates tracked since enumeration
✔ NPI 1477584738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 285052
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSpecialistTaxonomy 174400000X · License 042-0009894 (VT)
25 COTTAGE ST, Potsdam, NY 13676
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Other Identifiers 4

OtherP00255993VT · Rr Medicare
Medicare PINHX3942VT
Medicare UPINF73722
Medicaid0VN2070VT

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 A Healey 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 ID6709838824
PECOS Enrollment IDI20240314003293
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
125 services50 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
61 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
35 services33 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Other Providers at the Same Location NPPES

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

MRS. MARTA AGNES SZOKE M.D.
Pediatrics
25 COTTAGE ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-0907

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 Healey's NPI number?

The NPI number for Mark Healey is 1477584738. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Mark Healey located?

Mark Healey practices at 25 Cottage St, Potsdam, NY 13676. The listed phone number is (315) 265-1055.

What is Mark Healey's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mark Healey enrolled in Medicare?

Yes. Mark Healey 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.

When was this NPI record last updated?

The NPPES record for Mark Healey was last updated on March 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.