DR. MARC D. EISEN M.D.
NPI 1649345513
Otolaryngology - Otology & Neurotology in Farmington, CT

Q: What is Marc Eisen's NPI number?

The NPI number for Marc Eisen is 1649345513. It was assigned to this individual provider in the NPPES registry on November 23, 2006.

Q: What is Marc Eisen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Q: When was this NPI record last updated?

The NPPES record for Marc Eisen was last updated on November 10, 2023. 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 November 23, 2006PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

40 STANFORD DR, FARMINGTON, CT 06032(860) 640-4455(860) 640-4478 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2023, May 23, 2023, Mar 6, 2019 (3 updates tracked since 2019).

On this page

About Dr. Marc D. Eisen M.d. NPPES

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

DR. MARC D. EISEN M.D. (NPI 1649345513) is an individual otology & neurotology provider in Farmington, Connecticut, licensed in Connecticut (045054) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2000).

NPPES Registry Identity

NPI1649345513

Entity TypeIndividualMale

Primary Taxonomy207YX0901X

Provider Legal NameDR. MARC D. EISENCredential: M.D.

Location Address40 STANFORD DRFarmington, CT 06032-2454

Mailing Address40 Stanford DrFarmington, CT 06032-2454 · (860) 640-4455 · Fax (860) 640-4478

Phone(860) 640-4455

Fax(860) 640-4478

Sole ProprietorNo

Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2000

Enumeration DateNovember 23, 2006

Last NPPES UpdateNovember 10, 20233 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1649345513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians

Taxonomy Code207YX0901X

License✔ Licensed in CT · 045054

Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

40 STANFORD DR, Farmington, CT 06032

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Marc D. Eisen 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 ID9537161039

PECOS Enrollment IDI20070213000559

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 Marc Eisen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ear Specialty Group Of Connecticut PC

Same address

Otology & Neurotology

40 STANFORD DR
Farmington, CT 06032

Reassigned Medicare billing, Connecticut enrollment
5 clinicians in this Medicare group

NPI 1174005219 (860) 640-4455

Hartford Hospital

7.5 mi

Surgery

80 SEYMOUR ST, HARTFORD HOSPITAL PROFESSIONAL SERVICES
Hartford, CT 06102

Reassigned Medicare billing, Connecticut enrollment
Also billed through NPI 1770696643 (Connecticut)
1,333 clinicians in this Medicare group

NPI 1407806391 (860) 545-7602

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 12

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.

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.

217 services174 patients

Evaluation and testing for balance with recording 92540

This procedure involves a series of evaluations and tests to analyze your balance. Recordings are made to track your performance, helping identify any issues. This aids in determining the best treatment for any balance disorders you may have.

187 services181 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.

186 services186 patients

Test for abnormal eye movement using a rotating chair 92546

A rotating chair test helps doctors assess balance issues. You'll sit in a motorized chair that spins at controlled speeds. As the chair moves, your eye movements are monitored to identify any irregularities, which can indicate balance disorders.

167 services163 patients

Comprehensive hearing and speech recognition test 92557

A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.

163 services158 patients

Vemp testing of lower branch of inner ear nerve with interpretation and report 92517

VEMP testing is a safe procedure used to evaluate the functioning of your inner ear nerves. It involves playing sounds into your ears and recording the responses from your muscles. This helps detect any abnormalities in your inner ear. The results are then interpreted and reported by a specialist.

131 services131 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

88 services88 patients

Test for hearing various pitches using earphone 92552

This is a hearing test where earphones are worn to detect different pitch levels. Sounds of various frequencies are played, and you indicate when you hear them. This helps evaluate your hearing ability. It's safe, comfortable, and non-invasive.

46 services45 patients

Test for ability to detect and repeat spoken words with speech recognition 92556

This is a hearing test where you'll listen to spoken words through headphones and repeat them. It helps evaluate your ability to understand speech. It's a simple, non-invasive procedure that provides valuable information about your hearing health.

29 services28 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.

20 services19 patients

Test for hearing various pitches using earphone and device placed against the bone 92553

This is a hearing test that checks your ability to hear different pitches or frequencies. It involves wearing earphones and placing a device against your bone, usually behind the ear. It helps identify any hearing issues you might have.

17 services17 patients

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268

This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.

12 services12 patients

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.

84.47/100

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

Scored as part of a group practice

Quality

99.99

Promoting Interoperability

100

Improvement Activities

Cost

41.75

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

86%381 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%521 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

EAR SPECIALTY GROUP OF CONNECTICUT PC

Otolaryngology (Otology & Neurotology)

40 STANFORD DR
FARMINGTON, CT 06032

Capitol Planning Region (860) 640-4455

MRS. JONNA NICOLE FRANKLIN RPA-C

Physician Assistant (Medical)

40 STANFORD DR
FARMINGTON, CT 06032

Capitol Planning Region (860) 640-4455

DR. PETER ANTHONY WASIUK AU.D., PH.D.

Audiologist

40 STANFORD DR
FARMINGTON, CT 06032

Capitol Planning Region (860) 640-4455

SUSAN HANNAH ROSTRON AUD

Audiologist

40 STANFORD DR
FARMINGTON, CT 06032

Capitol Planning Region (860) 640-4455

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 Eisen's NPI number?

The NPI number for Marc Eisen is 1649345513. It was assigned to this individual provider in the NPPES registry on November 23, 2006.

Where is Marc Eisen located?

Marc Eisen practices at 40 Stanford Dr, Farmington, CT 06032. The listed phone number is (860) 640-4455.

What is Marc Eisen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is Marc Eisen enrolled in Medicare?

Yes. Marc Eisen 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 Eisen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Eisen reassigns Medicare benefits to 2 organizations: Ear Specialty Group Of Connecticut PC (Farmington, CT) and Hartford Hospital (Hartford, CT). 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 Eisen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Eisen accept?

Health plans from Anthem Blue Cross and Blue Shield list Marc Eisen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marc Eisen was last updated on November 10, 2023. 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.