Active NPI 1972597631 Individual Practitioner Male Practitioner

Dr. Mark S. Anthony , MD

Plastic Surgery • Elmira, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Anthony, MD is a certified Plastic Surgery practicing in Elmira, NY. With approximately 45 years of clinical experience since graduating from Temple University School Of Medicine in 1981, Dr. Anthony delivers high-quality medical care to the local community at 445 E WATER ST.

Dr. Anthony maintains professional affiliations with Arnot Ogden Medical Center, Arnot Medical Services Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

445 E Water St

Elmira, NY 149013410

Telephone 6077342067

Fax 6077321349

Associated Practice Facility / Clinic

🏢 Southern Tier Plastic Surgery Associates Pc Facility NPI 1437190162

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Elmira, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +14.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

3 Specialists

Practicing in Elmira, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Anthony (45 Years) 45 Yrs

Elmira Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	104	$199.00	$85.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$263.00	$106.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	42	$106.00	$53.10
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	11	11	$3384.00	$660.38
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$270.00	$88.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	106	$186.06	$86.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	110	110	$263.00	$107.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	50	$106.00	$55.01
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	18	$394.18	$129.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	100	81	$179.00	$89.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$263.00	$109.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	64	$106.00	$54.78
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	20	19	$1854.00	$699.46
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	13	13	$1692.00	$687.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	64	$179.00	$89.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	59	$106.00	$55.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$263.00	$109.51
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$182.00	$70.99
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	13	$270.00	$88.31
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	14	13	$1854.00	$658.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	72	$179.00	$72.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	69	$106.00	$43.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$263.00	$100.35
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$182.00	$72.82
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	16	14	$1893.00	$686.94
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	15	14	$1854.00	$718.15
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	12	11	$407.00	$83.92
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	12	12	$1692.00	$596.88
14021 Tissue transfer repair of wound (10.1 to 30.0 sq centimeters) of the scalp, arms, and/or legs	11	11	$2119.00	$785.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	101	$163.20	$71.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	69	$102.00	$42.98
99202 New patient office or other outpatient visit, typically 20 minutes	67	67	$171.01	$72.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$249.71	$103.73
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	28	22	$1942.21	$666.13
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	14	$391.00	$114.31
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	15	13	$1724.40	$557.29
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	13	12	$343.31	$96.79
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	13	13	$2709.08	$901.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	122	86	$90.00	$42.14
99213 Established patient office or other outpatient visit, typically 15 minutes	116	86	$120.00	$70.34
99202 New patient office or other outpatient visit, typically 20 minutes	81	81	$150.00	$71.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$170.00	$100.94
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	27	17	$329.78	$83.11
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	25	22	$2348.00	$671.59
17110 Destruction of up to 14 skin growths	23	23	$360.00	$68.28
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	23	23	$3214.00	$728.20
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	19	19	$469.00	$89.27
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	19	16	$322.00	$68.01
14001 Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm	17	16	$1854.00	$744.15
14000 Repair of wound of trunk by transferring skin, 10.0 sq cm or less	13	12	$1607.00	$479.75
17000 Destruction of skin growth	13	13	$240.00	$39.06
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1285.00	$398.88
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	11	11	$989.00	$134.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	107	$120.00	$67.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	138	113	$90.00	$40.12
99202 New patient office or other outpatient visit, typically 20 minutes	80	80	$150.00	$69.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$170.00	$98.78
17110 Destruction of up to 14 skin growths	31	29	$360.00	$72.30
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	30	20	$371.00	$92.11
17000 Destruction of skin growth	27	26	$240.00	$37.50
14040 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less	23	21	$2348.00	$654.27
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	16	15	$2966.00	$818.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	16	15	$1285.00	$411.40
14020 Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less	14	13	$1854.00	$619.25

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 185751

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Hospital & Practice Group Affiliations

Arnot Medical Services Pllc

445 E Water St, Elmira, NY 149013410

Phone: 6077342067

Arnot Ogden Medical Center

600 Roe Ave, Elmira, NY 149051629

Phone: 60773741004118

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Dawn Heil , MD

Plastic Surgery

NPI 1275527145

Doctor of Medicine (M.D.)

Matthew Rich

Plastic Surgery

NPI 1538656467

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 27, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 27, 2011

Registered at 445 E WATER ST, ELMIRA, NY 149013410 (Tel: 6077342067)

📍

Updated Business Mailing Address January 27, 2011

Registered at 445 E WATER ST, ELMIRA, NY 149013410 (Tel: 6077342067)

👤

Provider Name / Credentials Updated January 27, 2011

Recorded as MARK ANTHONY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2011

Plastic Surgery (License #185751 in NY)

🟢

Initial NPI Registration & Enumeration September 08, 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: 1972597631

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 08, 2005

Last Update: January 27, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

445 E Water St

Elmira, NY 149013410

Phone: 6077342067

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.