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Deactivated NPI 1386645653 Deactivated / Inactive NPI Male Practitioner

Dr. Marvin Pollack , MD

Ophthalmology • Brooklyn, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marvin Pollack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2005
NPI Deactivation Date August 01, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Pollack, MD was a registered Ophthalmology practicing in Brooklyn, NY. Throughout an active medical career spanning 13 years, Dr. Pollack provided care at the practice location at 4701 15TH AVE until profile deactivation on 2018-08-01.

Historical Medicare Part B clinical services included established patient problem focused exam of visual system, established patient outpatient office visit, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

4701 15th Ave

Brooklyn, NY 112192740

Telephone 7184369216
Fax 7184363912

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Brooklyn, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.9 Yrs
State Avg: 32.5 Yrs
Regional Practice Density
164 Specialists

Practicing in Brooklyn, NY (1980 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
16.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
216 204 $114.58 $96.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
57 40 $64.65 $48.58
92014 Established patient complete exam of visual system
36 36 $155.80 $137.98
92004 New patient complete exam of visual system
33 33 $178.18 $164.23
92002 New patient problem focused exam of visual system
18 18 $134.44 $91.27

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NY MD102030

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
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NPI Profile Deactivated August 01, 2018

Record deactivated on August 01, 2018

NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

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Updated Practice Location March 17, 2018

Registered at 4701 15TH AVE, BROOKLYN, NY 112192740 (Tel: 7184369216)

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Updated Business Mailing Address March 17, 2018

Registered at 4701 15TH AVE, BROOKLYN, NY 112192740 (Tel: 7184369216)

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Provider Name / Credentials Updated March 17, 2018

Recorded as MARVIN POLLACK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Ophthalmology (License #MD102030 in NY)

NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2017

Registered at 4701 15TH AVE, BROOKLYN, NY 112192740 (Tel: 7184369216)

📍
Updated Business Mailing Address November 08, 2017

Registered at 4701 15TH AVE, BROOKLYN, NY 112192740 (Tel: 7184369216)

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Provider Name / Credentials Updated November 08, 2017

Recorded as MARVIN POLLACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Ophthalmology (License #MD102030 in NY)

NPI Profile Active November 29, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2011

Registered at 4701 15TH AVE, BROOKLYN, NY 112192740 (Tel: 7184369216)

📍
Updated Business Mailing Address November 29, 2011

Registered at 4701 15TH AVE, BROOKLYN, NY 112192740 (Tel: 7184369216)

👤
Provider Name / Credentials Updated November 29, 2011

Recorded as MARVIN POLLACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2011

Ophthalmology (License #MD102030 in NY)

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Initial NPI Registration & Enumeration August 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386645653
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2005
Last Update: November 29, 2011
Deactivation Date: August 01, 2018

Mailing Address

4701 15th Ave

Brooklyn, NY 112192740

Phone: 7184369216

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.