MARC ALVIN FRANKE O.D.
NPI 1093735631
Optometrist in Jefferson City, MO

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
23.33/100
CMS Quality Rating
2421 W EDGEWOOD DR, STE A, JEFFERSON CITY, MO 65109(573) 808-3908 Get Directions Write a Review

NPPES record last updated: August 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marc Alvin Franke O.d. NPPES

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

MARC ALVIN FRANKE O.D. (NPI 1093735631) is an individual optometrist in Jefferson City, Missouri, licensed in Missouri (2005019958) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2005).

NPPES Registry Identity

NPI1093735631
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARC ALVIN FRANKECredential: O.D.
Location Address2421 W EDGEWOOD DR, STE AJefferson City, MO 65109-5844
Mailing Address924 Rustic Creek TrlJefferson City, MO 65101-7405 · (816) 858-3954 · Fax (816) 858-3954
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2005
Enumeration DateJuly 19, 2006
Last NPPES UpdateAugust 17, 2020
NPPES CertifiedAugust 17, 2020
NPI 1093735631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MO · 2005019958
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.

2421 W EDGEWOOD DR, Jefferson City, MO 65109

Other Identifiers 1

Medicaid317512804MO

Accepted 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

Marc Alvin Franke O.d. 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 ID6800825050
PECOS Enrollment IDI20050808000695
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 9

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 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.
1,666 services1,252 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.
553 services553 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
514 services382 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.
415 services411 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
106 services74 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.
51 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65109 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

23.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality26.66
Improvement Activities0

Reported Quality Measures

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%154 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
2421 W EDGEWOOD DR, STE A
JEFFERSON CITY, MO 65109

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 Marc Franke's NPI number?

The NPI number for Marc Franke is 1093735631. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Marc Franke located?

Marc Franke practices at 2421 W Edgewood Dr Ste A, Jefferson City, MO 65109. The listed phone number is (573) 808-3908.

What is Marc Franke's specialty?

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

Is Marc Franke enrolled in Medicare?

Yes. Marc Franke 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 Marc Franke accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Marc Franke 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 Marc Franke was last updated on August 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.