MARK A GELFAND MD
NPI 1659546992
Plastic Surgery in East Setauket, NY
About Mark A Gelfand Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK A GELFAND MD (NPI 1659546992) is an individual plastic surgery provider in East Setauket, New York, licensed in New York (234242) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS, is affiliated with Legacy Mount Hood Medical Center, and is a graduate of State University Of Ny Upstate Medical University (2000).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mark A Gelfand Md 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.
Areas of Expertise CMS Part B claims 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Legacy Mount Hood Medical Center
Acute Care Hospitals · Gresham, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
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 Gelfand's NPI number?
The NPI number for Mark Gelfand is 1659546992. It was assigned to this individual provider in the NPPES registry on April 28, 2008.
Where is Mark Gelfand located?
Mark Gelfand practices at 24 Research Way, East Setauket, NY 11733. The listed phone number is (631) 444-4666.
What is Mark Gelfand's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Mark Gelfand enrolled in Medicare?
Yes. Mark Gelfand 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.
What insurance does Mark Gelfand accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Mark Gelfand 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.
Is Mark Gelfand affiliated with any hospitals?
According to CMS data, Mark Gelfand is affiliated with Legacy Mount Hood Medical Center.
When was this NPI record last updated?
The NPPES record for Mark Gelfand was last updated on April 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
