DR. MARK ALAN ABPLANALP O.D. - NPI 1174528962

Q: What is Mark Abplanalp's NPI number?

The NPI number for Mark Abplanalp is 1174528962. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Mark Abplanalp's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Q: When was this NPI record last updated?

The NPPES record for Mark Abplanalp was last updated on December 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mark Alan Abplanalp O.d. NPPES

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

DR. MARK ALAN ABPLANALP O.D. (NPI 1174528962) is an individual corneal and contact management provider in Oxford, Ohio, licensed in Ohio (3842) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174528962

Entity TypeIndividualMale

Primary Taxonomy152WC0802X

Provider Legal NameDR. MARK ALAN ABPLANALPCredential: O.D.

Location Address5720 COLLEGE CORNER PIKEOxford, OH 45056-1178

Mailing Address8352 E County Rd 1250 NSunman, IN 47041 · (513) 405-2496

Phone(513) 523-8798

Fax(513) 523-5710

Sole ProprietorYes

Enumeration DateJune 17, 2005

Last NPPES UpdateDecember 5, 2015

✔ NPI 1174528962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers

Taxonomy Code152WC0802X

Licenses✔ Licensed in OH · 3842✔ Licensed in IN · 18002235

Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.

5720 COLLEGE CORNER PIKE, Oxford, OH 45056

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Other Identifiers 2

Medicare UPINU47697OH

Medicare PIN1174528962OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark Alan Abplanalp O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45056 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 8

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

DR. NICOLE MARIE COOGAN R.PH.

Pharmacist