MARK A STAFFARONI MD
NPI 1699720375
Ophthalmology in Allentown, PA

Active since May 23, 2006PECOS Enrolled
400 N 17TH ST, STE 101, ALLENTOWN, PA 18104(610) 433-0450(610) 433-4655 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark A Staffaroni Md NPPES

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

MARK A STAFFARONI MD (NPI 1699720375) is an individual ophthalmology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD028793E) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699720375
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARK A STAFFARONICredential: MD
Location Address400 N 17TH ST, STE 101Allentown, PA 18104
Mailing Address825 E Gate Blvd Ste 111Garden City, NY 11530-2136 · (516) 804-5200 · Fax (631) 309-6461
Fax(610) 433-4655
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateApril 17, 2020
NPPES CertifiedApril 17, 2020
NPI 1699720375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD028793E
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
400 N 17TH ST, Allentown, PA 18104

Other Identifiers 1

Medicaid1219296PA

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 A Staffaroni 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 18104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%86 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 20

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

Pediatrics (Pediatric Endocrinology)
400 N 17TH ST, SUITE 201
ALLENTOWN, PA 18104
Nurse Anesthetist, Certified Registered
400 N 17TH ST
ALLENTOWN, PA 18104
Ophthalmology
400 N 17TH ST, SUITE 200
ALLENTOWN, PA 18104
Ophthalmology
400 N 17TH ST, SUITE 200
ALLENTOWN, PA 18104
Nurse Anesthetist, Certified Registered
400 N 17TH ST
ALLENTOWN, PA 18104
Pediatrics (Adolescent Medicine)
400 N 17TH ST, SUITE 202
ALLENTOWN, PA 18104
Ophthalmology
400 N 17TH ST, STE 101
ALLENTOWN, PA 18104
Social Worker (Clinical)
400 N 17TH ST, SUITE 202
ALLENTOWN, PA 18104

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 Staffaroni's NPI number?

The NPI number for Mark Staffaroni is 1699720375. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Mark Staffaroni located?

Mark Staffaroni practices at 400 N 17th St Ste 101, Allentown, PA 18104. The listed phone number is (610) 433-0450.

What is Mark Staffaroni's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Staffaroni enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mark Staffaroni was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.