DR. MARK MICHAEL FERNANDEZ MD
NPI 1881860013
Ophthalmology in Norfolk, VA

Q: What is Mark Fernandez's NPI number?

The NPI number for Mark Fernandez is 1881860013. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Q: What is Mark Fernandez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Fernandez was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 07, 2008PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

885 KEMPSVILLE ROAD, SUITE 101, VIRGINIA OPHTHALMOLOGY ASSOCIATES, PC, NORFOLK, VA 23502(757) 461-1444 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Mark Michael Fernandez Md NPPES

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

DR. MARK MICHAEL FERNANDEZ MD (NPI 1881860013) is an individual ophthalmology provider in Norfolk, Virginia, licensed in Virginia (0101251330) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Duke University School Of Medicine (2007).

NPPES Registry Identity

NPI1881860013

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARK MICHAEL FERNANDEZCredential: MD

Location Address885 KEMPSVILLE ROAD, SUITE 101, VIRGINIA OPHTHALMOLOGY ASSOCIATES, PCNorfolk, VA 23502

Mailing Address1133 Cambridge CresNorfolk, VA 23508-1221 · (520) 245-4733

Phone(757) 461-1444

Sole ProprietorYes

Medical School CMSDuke University School Of MedicineGraduated 2007

Enumeration DateMay 7, 2008

Last NPPES UpdateMarch 22, 2018

✔ NPI 1881860013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in VA · 0101251330✔ Licensed in NC · 141993

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.

885 KEMPSVILLE ROAD, SUITE 101, Norfolk, VA 23502

Open in Google Maps ↗

Other Identifiers 3

Other0101251330VA · Virginia Medical License

Other141993North Carolina Medical Board Certificate Number

Medicaid1881860013VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and more.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. Mark Michael Fernandez 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.

PECOS PAC ID42488926

PECOS Enrollment IDI20120814000674

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 Reassignment

Medicare enrollment records show Mark Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Ophthalmology Associates, P.C.

Same address

Ophthalmology

885 KEMPSVILLE RD, SUITE 101
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
Medicare enrollment name: Virginia Ophthalmology Associates PC
7 clinicians in this Medicare group

NPI 1275588477 (757) 461-1444

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 16

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 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.

1,029 services724 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.

464 services358 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.

439 services435 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

263 services181 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

258 services188 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.

235 services231 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.

183 services171 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

137 services133 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

136 services129 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

115 services97 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

69 services40 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.

60 services60 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

40 services28 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

32 services31 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

24 services21 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490007

Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County

Emergency services Birthing friendly

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490017

Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County

Emergency services

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23502 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

75/100

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

Scored as part of a group practice

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement

Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…

100%20 patients5/55-star benchmark: 100%

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…

100%20 patients5/55-star benchmark: 100%

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%141 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…

100%185 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%195 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020

Other-Vision, Hearing, and Speech Services · category OC000N

2 suppliers16 claims16 services$50.26 avg. paid by Medicare

Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303

Other-Vision, Hearing, and Speech Services · category OC000N

1 supplier13 claims24 services$55.06 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Fernandez's NPI number?

The NPI number for Mark Fernandez is 1881860013. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Mark Fernandez located?

Mark Fernandez practices at 885 Kempsville Road, Suite 101 Virginia Ophthalmology Associates, PC, Norfolk, VA 23502. The listed phone number is (757) 461-1444.

What is Mark Fernandez's specialty?

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

Is Mark Fernandez enrolled in Medicare?

Yes. Mark Fernandez 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 organization bills Medicare for Mark Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Fernandez reassigns Medicare benefits to Virginia Ophthalmology Associates, P.C. (Norfolk, VA). The 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 Mark Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Fernandez accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Mark Fernandez 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 Fernandez affiliated with any hospitals?

According to CMS data, Mark Fernandez is affiliated with Sentara Norfolk General Hospital, Bon Secours Maryview Medical Center and Sentara Leigh Hospital.

When was this NPI record last updated?

The NPPES record for Mark Fernandez was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.