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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK GLICKLICH MD
NPI 1497738199
Radiology - Vascular & Interventional Radiology in Brewster, NY

Active since November 28, 2005PECOS Enrolled
69.62/100
CMS Quality Rating
3839 DANBURY RD, BREWSTER, NY 10509(845) 278-6200(845) 278-7802 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Mark Glicklich Md NPPES

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

MARK GLICKLICH MD (NPI 1497738199) is an individual vascular & interventional radiology provider in Brewster, New York, licensed in New York (167925) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497738199
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameMARK GLICKLICHCredential: MD
Location Address3839 DANBURY RDBrewster, NY 10509-5412
Mailing Address3839 Danbury RdBrewster, NY 10509-5412 · (845) 278-6200 · Fax (845) 278-7802
Phone(845) 278-6200
Fax(845) 278-7802
Sole ProprietorNo
Enumeration DateNovember 28, 2005
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
✔ NPI 1497738199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License✔ Licensed in NY · 167925
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License 167925 (NY)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 167925 (NY)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License 167925 (NY)
Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 167925 (NY)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 167925 (NY)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License 167925 (NY)
3839 DANBURY RD, Brewster, NY 10509
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Glicklich Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10509 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

69.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.26
Improvement Activities40

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.

LOUIS A PEREZ MD
Radiology (Vascular & Interventional Radiology)
3839 DANBURY RD
BREWSTER, NY 10509
Putnam County (845) 278-6200
NORTHEAST RADIOLOGY PC
Radiology (Diagnostic Radiology)
3839 DANBURY RD
BREWSTER, NY 10509
Putnam County (845) 278-6200
KEI DOI MD PHD
Radiology (Diagnostic Radiology)
3839 DANBURY RD, NORTHEAST RADIOLOGY
BREWSTER, NY 10509
Putnam County (845) 278-6200
SOFIYA GREENBERG M.D.
Radiology (Diagnostic Radiology)
3839 DANBURY RD
BREWSTER, NY 10509
Putnam County (845) 278-6200
HOWARD LEE MD
Radiology (Diagnostic Radiology)
3839 DANBURY RD
BREWSTER, NY 10509
Putnam County (845) 278-6200
DR. GREGORY NEVSKY M.D.
Radiology (Diagnostic Radiology)
3839 DANBURY RD
BREWSTER, NY 10509
Putnam County (845) 278-6200
PETER N WAXMAN MD
Radiology (Neuroradiology)
3839 DANBURY RD, NORTHEAST RADIOLOGY
BREWSTER, NY 10509
Putnam County (845) 278-6200

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 Glicklich's NPI number?

The NPI number for Mark Glicklich is 1497738199. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Mark Glicklich located?

Mark Glicklich practices at 3839 Danbury Rd, Brewster, NY 10509. The listed phone number is (845) 278-6200.

What is Mark Glicklich's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Mark Glicklich enrolled in Medicare?

Yes. Mark Glicklich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Glicklich was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.