MARK B PRIVOTT O. D.
NPI 1164416343
Optometrist in Oklahoma City, OK
About Mark B Privott O. D. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK B PRIVOTT O. D. (NPI 1164416343) is an individual optometrist in Oklahoma City, Oklahoma, licensed in Oklahoma (1113) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark B Privott 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Privott reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 20 clinicians in this Medicare group
Bethany, OK 73008
- Reassigned Medicare billing, Oklahoma enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 73120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
OKLAHOMA CITY, OK 73120
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 Privott's NPI number?
The NPI number for Mark Privott is 1164416343. It was assigned to this individual provider in the NPPES registry on September 2, 2005.
Where is Mark Privott located?
Mark Privott practices at 4205 Mcauley Blvd, Oklahoma City, OK 73120. The listed phone number is (405) 755-6111.
What is Mark Privott's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mark Privott enrolled in Medicare?
Yes. Mark Privott 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.
Which organizations bill Medicare for Mark Privott's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Privott reassigns Medicare benefits to 2 organizations: Britton Vision Associates Inc (Edmond, OK) and Mark B. Privott, O.D., Inc (Bethany, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Privott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Privott accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 13 other insurers list Mark Privott 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 Privott was last updated on April 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mark B Privott, O. D. · NPI 1164416343
Optometrist provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since September 2, 2005.
## Identity
- **NPI:** 1164416343 (Entity type: Individual)
- **Enumerated:** September 2, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1113 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 4205 MCAULEY BLVD, Oklahoma City, OK 73120-8347
- **Phone:** (405) 755-6111 · **Fax:** (405) 755-6298
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Britton Vision Associates Inc (NPI 1427051408, Edmond, OK); Mark B. Privott, O.D., Inc (NPI 1225257249, Bethany, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** April 16, 2008
- **Other identifiers:** Medicaid 100759820A (OK); Medicare UPIN T40609 (OK); Medicare NSC 4093570002 (OK); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1164416343) · Data from the CMS NPPES public registry.