DR. MARK PHILIP BREAZZANO M.D.
NPI 1619388121
Ophthalmology - Retina Specialist in Liverpool, NY

Q: What is Mark Breazzano's NPI number?

The NPI number for Mark Breazzano is 1619388121. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Q: What is Mark Breazzano'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 Mark Breazzano was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 19, 2014PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

200 GREENFIELD PKWY, LIVERPOOL, NY 13088(315) 445-8166(315) 445-2697 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2024, Aug 10, 2022, Sep 28, 2020 and 4 more (7 updates tracked since 2018).

On this page

About Dr. Mark Philip Breazzano M.d. NPPES

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

DR. MARK PHILIP BREAZZANO M.D. (NPI 1619388121) is an individual retina specialist in Liverpool, New York, licensed in New York (292157) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619388121

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. MARK PHILIP BREAZZANOCredential: M.D.

Location Address200 GREENFIELD PKWYLiverpool, NY 13088-6655

Mailing Address200 Greenfield PkwyLiverpool, NY 13088-6655 · (315) 445-8166 · Fax (315) 445-2697

Phone(315) 445-8166

Fax(315) 445-2697

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2014

Enumeration DateMay 19, 2014

Last NPPES UpdateApril 12, 20247 updates tracked since enumeration

NPPES CertifiedApril 12, 2024

✔ NPI 1619388121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in NY · 292157

Definition

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

200 GREENFIELD PKWY, Liverpool, NY 13088

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Secondary Practice Locations 2

Location 1635 W 165th StNew York, NY 10032 · Phone (212) 305-9535 · Fax (212) 305-5523

Location 2600 N WOLFE STREET, MAUMENEE 708BALTIMORE, MD 21287-0005 · Phone (410) 614-4637 · Fax (410) 500-4262

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. Mark Philip Breazzano 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 ID9638433972

PECOS Enrollment IDI20180514001162

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 Mark Breazzano reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina-Vitreous Surgeons Of Central New York, PC

Same address

Retina Specialist

200 GREENFIELD PKWY
Liverpool, NY 13088

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1124012737 (315) 445-8166

Ophthalmology Medical Service Group Inc

3.3 mi

Ophthalmology

750 E ADAMS ST
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
54 clinicians in this Medicare group

NPI 1225072051 (315) 464-8109

Retina Services Of The University Of Rochester

73 mi

Ophthalmology

601 ELMWOOD AVE
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
8 clinicians in this Medicare group

NPI 1396990537 (585) 273-3937

Trustees Of Columbia University In The City Of New York

191 mi

Internal Medicine

400 KELBY ST, 8TH FLOOR CLINICAL REVENUE OFFICE
Fort Lee, NJ 07024

Reassigned Medicare billing, New York enrollment
Also billed through NPI 1508266347 (New York)
1,048 clinicians in this Medicare group

NPI 1982993184 (212) 304-6408

Johns Hopkins University

249 mi

Ophthalmology

4692 MILLENNIUM DRIVE, SUITE 200
Belcamp, MD 21017

Reassigned Medicare billing, Maryland enrollment
4,483 clinicians in this Medicare group

NPI 1376342774 (410) 000-0000

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 17

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.

2,700 services12 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.

1,061 services542 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.

1,054 services185 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.

668 services236 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.

208 services206 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

164 services13 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.

117 services103 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.

81 services78 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.

69 services69 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

46 services44 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.

37 services25 patients

Imaging of retina 92134

31 services27 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

20 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

20 services18 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.

18 services18 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.

12 services12 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330285

Location601 Elmwood AveRochester, NY 14642 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

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.

100/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 9

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

DR. PATRICK RAFAEL OELLERS MD

Ophthalmology (Retina Specialist)