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MARK B PRIVOTT O. D.
NPI 1164416343
Optometrist in Oklahoma City, OK

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
85.54/100
CMS Quality Rating
4205 MCAULEY BLVD, OKLAHOMA CITY, OK 73120(405) 755-6111(405) 755-6298 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1164416343
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK B PRIVOTTCredential: O. D.
Location Address4205 MCAULEY BLVDOklahoma City, OK 73120-8347
Mailing Address4205 Mcauley BlvdOklahoma City, OK 73120-8347 · (405) 755-6111 · Fax (405) 755-6298
Phone(405) 755-6111
Fax(405) 755-6298
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateSeptember 2, 2005
Last NPPES UpdateApril 16, 2008
✔ NPI 1164416343 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 OK · 1113
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.
4205 MCAULEY BLVD, Oklahoma City, OK 73120
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Other Identifiers 4

Medicaid100759820AOK
Medicare UPINT40609OK
Medicare NSC4093570002OK
Medicare PIN410044959OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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 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.

PECOS PAC ID8527108182
PECOS Enrollment IDI20091214000212
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 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.

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.
222 services221 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
89 services55 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.
51 services51 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
50 services31 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.
22 services19 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
14 services14 patients

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.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

85.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost51.82

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.

ABBY R BOVA MD
Internal Medicine (Hematology & Oncology)
4205 MCAULEY BLVD, STE 375
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 751-4343
OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C
Internal Medicine (Hematology & Oncology)
4205 MCAULEY BLVD, 375
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 751-4343
DR. DIANA L. KENNEDY M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4205 MCAULEY BLVD, SUITE 420
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 751-6111
DR. HANNA A SAADAH M.D.
Internal Medicine (Infectious Disease)
4205 MCAULEY BLVD, SUITE 400
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 749-4260
J CHRIS HUMMEL MD PC
Ophthalmology
4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-6111
SHERRI C EAKINS O. D
Optometrist
4205 MCAULEY BLVD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-6111
OKLAHOMA CITY PAIN MANAGEMENT PLLC
Anesthesiology
4205 MCAULEY BLVD, SUITE 470
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 608-0823
ADVANCED PULMONARY AND CRITICAL CARE PC
Internal Medicine (Pulmonary Disease)
4205 MCAULEY BLVD, SUITE 470
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 397-9008

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.

What insurance does Mark Privott accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 8 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 with the weekly NPPES data releases published by CMS.