Active NPI 1477584738 Individual Practitioner Male Practitioner

Dr. Mark A Healey , MD

Surgery • Potsdam, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Healey, MD is a certified Surgery practicing in Potsdam, NY. With approximately 40 years of clinical experience since graduating from Queen'S School Of Medicine in 1986, Dr. Healey delivers high-quality medical care to the local community at 25 COTTAGE ST.

Dr. Healey is affiliated with North County Trauma Associates Inc A Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Cottage St

Potsdam, NY 136762196

Telephone 3152651055

Fax 3152615043

Associated Practice Facility / Clinic

🏢 St Lawrence Radiology Assoc Pc Facility NPI 1154380863

Medicare Profile & Education

Medical School

Queen's School Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Potsdam, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +11.4 yrs vs City Avg

City Avg: 28.6 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

7 Specialists

Practicing in Potsdam, NY (2269 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Healey (40 Years) 40 Yrs

Potsdam Specialty Average (28.6 Years) 28.6 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	125	50	$360.00	$83.34
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	26	$220.00	$51.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	33	$650.00	$137.49
99291 Critical care, first 30-74 minutes	31	13	$1500.00	$221.72
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$1000.00	$182.92

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	30	16	$96.16	$54.16
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$209.38	$86.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$273.13	$159.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$281.38	$160.63
99213 Established patient office or other outpatient visit, typically 15 minutes	28	21	$153.74	$89.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	12	$92.71	$55.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$185.70	$109.86
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$154.72	$61.94

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	43	18	$74.00	$55.78
99213 Established patient office or other outpatient visit, typically 15 minutes	42	34	$145.00	$90.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$375.00	$163.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	12	$102.00	$71.11
45380 Biopsy of large bowel using an endoscope	25	25	$1123.00	$195.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	19	$212.00	$128.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	12	$194.00	$134.45
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$145.00	$68.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	12	11	$820.00	$86.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	19	$102.00	$72.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	19	$74.00	$44.68
99213 Established patient office or other outpatient visit, typically 15 minutes	28	25	$145.00	$72.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	22	$212.00	$104.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$194.00	$136.95
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$145.00	$72.25
45380 Biopsy of large bowel using an endoscope	15	15	$1123.00	$202.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$243.00	$106.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	55	43	$145.00	$71.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	18	$102.00	$71.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	32	$212.00	$105.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	22	$74.00	$43.73
99202 New patient office or other outpatient visit, typically 20 minutes	29	29	$145.00	$74.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$194.00	$133.85
45380 Biopsy of large bowel using an endoscope	22	22	$1123.00	$192.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$375.00	$159.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$243.00	$104.93
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$820.00	$94.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	22	$102.00	$68.39
99213 Established patient office or other outpatient visit, typically 15 minutes	31	22	$145.00	$68.05
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$145.00	$69.96
45380 Biopsy of large bowel using an endoscope	26	26	$1123.00	$179.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	20	$194.00	$128.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$243.00	$100.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$375.00	$153.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	24	$102.00	$64.51
99213 Established patient office or other outpatient visit, typically 15 minutes	44	30	$145.00	$64.59
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$145.00	$66.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$194.00	$121.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$243.00	$87.25
45380 Biopsy of large bowel using an endoscope	18	18	$1123.00	$155.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$212.00	$89.32

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 285052

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License VT 042-0009894

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0VN2070 (VT)

Commercial Insurance / Payer ID Rr Medicare

P00255993 (VT)

Hospital & Practice Group Affiliations

North County Trauma Associates Inc A Medical Group

838 Nordahl Rd, San Marcos, CA 920693596

Phone: 7604895955

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Marta Szoke , MD

Pediatrics

NPI 1932156890

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active March 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2017

Registered at 25 COTTAGE ST, POTSDAM, NY 136762196 (Tel: 3152651055)

📍

Updated Business Mailing Address March 03, 2017

Registered at 50 LEROY ST, SUITE 100, POTSDAM, NY 136761786 (Tel: 3152651055)

👤

Provider Name / Credentials Updated March 03, 2017

Recorded as MARK HEALEY, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2017

Specialist (License #042-0009894 in VT)

✅

NPI Profile Active June 20, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2016

Registered at 308 BLAKELY RD, SUITE 100, COLCHESTER, VT 054463901 (Tel: 8026585600)

📍

Updated Business Mailing Address June 20, 2016

Registered at 50 LEROY ST, SUITE 100, POTSDAM, NY 136761786 (Tel: 3152651055)

👤

Provider Name / Credentials Updated June 20, 2016

Recorded as MARK HEALEY, M.D

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2016

Specialist (License #042-0009894 in VT)

🟢

Initial NPI Registration & Enumeration July 05, 2006

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: 1477584738

Entity Type:

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

Enumeration Date: July 05, 2006

Last Update: March 03, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

50 Leroy St, Suite 100

Potsdam, NY 136761786

Phone: 3152651055

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.