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DR. MARK KACZMAREK OD
NPI 1144800442
Optometrist in Highland, MI

Active since April 11, 2021PECOS EnrolledAccepts Medicare Assignment
99.6/100
CMS Quality Rating
2942 E HIGHLAND RD, HIGHLAND, MI 48356(248) 887-4175(248) 889-2298 Get Directions Write a Review

NPPES record last updated: April 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Kaczmarek Od NPPES

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

DR. MARK KACZMAREK OD (NPI 1144800442) is an individual optometrist in Highland, Michigan, licensed in Michigan (4901005529) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in White Lake, and is a graduate of Ferris State College - College Of Optometry (2021).

NPPES Registry Identity

NPI1144800442
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK KACZMAREKCredential: OD
Location Address2942 E HIGHLAND RDHighland, MI 48356-2810
Mailing Address2942 E Highland RdHighland, MI 48356-2810 · (248) 887-4175 · Fax (248) 889-2298
Phone(248) 887-4175
Fax(248) 889-2298
Sole ProprietorNo
Medical School CMSFerris State College - College Of OptometryGraduated 2021
Enumeration DateApril 11, 2021
NPPES CertifiedApril 11, 2021
✔ NPI 1144800442 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 MI · 4901005529
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.
2942 E HIGHLAND RD, Highland, MI 48356
Open in Google Maps ↗

Secondary Practice Location 1

Location 19135 Highland Rd Ste 7White Lake, MI 48386-2044 · Phone (248) 666-9700 · Fax (248) 666-0378

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Mark Kaczmarek 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 ID1759784739
PECOS Enrollment IDI20210728002497
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 5

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.
45 services45 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
20 services18 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.
19 services19 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
15 services15 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.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48356 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

99.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability82
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DAVID S KLAR O.D.
Optometrist
2942 E HIGHLAND RD
HIGHLAND, MI 48356
Oakland County (248) 887-4175
CYNTHIA M KACZMAREK
Optometrist
2942 E HIGHLAND RD
HIGHLAND, MI 48356
Oakland County (248) 887-4175
CYNTHIA M KACZMAREK
Technician/Technologist (Optician)
2942 E HIGHLAND RD
HIGHLAND, MI 48356
Oakland County (248) 887-4175

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 Kaczmarek's NPI number?

The NPI number for Mark Kaczmarek is 1144800442. It was assigned to this individual provider in the NPPES registry on April 11, 2021.

Where is Mark Kaczmarek located?

Mark Kaczmarek practices at 2942 E Highland Rd, Highland, MI 48356. The listed phone number is (248) 887-4175.

What is Mark Kaczmarek's specialty?

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

Is Mark Kaczmarek enrolled in Medicare?

Yes. Mark Kaczmarek 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 Kaczmarek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 9 other insurers list Mark Kaczmarek 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 Kaczmarek was last updated on April 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.