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MARK MARGOLIES OD
NPI 1043216898
Optometrist in Levittown, PA

Active since June 27, 2005PECOS EnrolledAccepts Medicare Assignment
29 STONYBROOK DR, LEVITTOWN, PA 19055(215) 946-1221(215) 946-1225 Get Directions Write a Review

NPPES record last updated: June 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Margolies Od NPPES

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

MARK MARGOLIES OD (NPI 1043216898) is an individual optometrist in Levittown, Pennsylvania, licensed in Pennsylvania (OEG000972) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1985).

NPPES Registry Identity

NPI1043216898
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK MARGOLIESCredential: OD
Location Address29 STONYBROOK DRLevittown, PA 19055-2216
Mailing Address1724 Kendrick StPhiladelphia, PA 19152-1816 · (215) 946-1221 · Fax (215) 946-1225
Phone(215) 946-1221
Fax(215) 946-1225
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1985
Enumeration DateJune 27, 2005
Last NPPES UpdateJune 30, 2010
✔ NPI 1043216898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG000972
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License OEG000972 (PA)
29 STONYBROOK DR, Levittown, PA 19055
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Other Identifiers 5

Medicare PIN482645PA
Medicare UPINT30665PA
Other410024019PA · Railroad Medicare Provider Number/ptan
Medicare NSC4444340001PA
Medicaid001607401PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Margolies Od 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 ID9234253360
PECOS Enrollment IDI20100826000629
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.

Areas of Expertise CMS Part B claims 3

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.
146 services133 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
24 services24 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.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19055 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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 Margolies's NPI number?

The NPI number for Mark Margolies is 1043216898. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Mark Margolies located?

Mark Margolies practices at 29 Stonybrook Dr, Levittown, PA 19055. The listed phone number is (215) 946-1221.

What is Mark Margolies's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mark Margolies enrolled in Medicare?

Yes. Mark Margolies 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.

What insurance does Mark Margolies accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Mark Margolies 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.

When was this NPI record last updated?

The NPPES record for Mark Margolies was last updated on June 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.