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MARK THOMAS MENTZER OD
NPI 1184813305
Optometrist in Hiawatha, IA

Active since October 24, 2007PECOS EnrolledAccepts Medicare Assignment
2200 BLAIRSFERRY CROSSING, HIAWATHA, IA 52233(319) 294-9546(319) 395-0089 Get Directions Write a Review

NPPES record last updated: June 15, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mark Thomas Mentzer Od NPPES

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

MARK THOMAS MENTZER OD (NPI 1184813305) is an individual optometrist in Hiawatha, Iowa, licensed in Iowa (01912) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1989).

NPPES Registry Identity

NPI1184813305
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK THOMAS MENTZERCredential: OD
Location Address2200 BLAIRSFERRY CROSSINGHiawatha, IA 52233-7900
Mailing Address2200 Blairsferry CrossingHiawatha, IA 52233-7900 · (319) 294-9546 · Fax (319) 395-0089
Phone(319) 294-9546
Fax(319) 395-0089
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1989
Enumeration DateOctober 24, 2007
Last NPPES UpdateJune 15, 2009
✔ NPI 1184813305 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 IA · 01912
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.
2200 BLAIRSFERRY CROSSING, Hiawatha, IA 52233
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Other Identifiers 4

Medicare NSC5290990001IA
Medicare PINI13012001IA
Medicare UPINU01721IA
Medicaid3284331IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan.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 Thomas Mentzer 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 ID9739156373
PECOS Enrollment IDI20040914000392
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 8

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.
229 services228 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.
86 services82 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.
51 services29 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.
46 services36 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.
45 services40 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).
34 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52233 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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%35 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.

MARK T MENTZER OD PC
Optometrist
2200 BLAIRSFERRY CROSSING
HIAWATHA, IA 52233
Linn County (319) 294-9546

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 Mentzer's NPI number?

The NPI number for Mark Mentzer is 1184813305. It was assigned to this individual provider in the NPPES registry on October 24, 2007.

Where is Mark Mentzer located?

Mark Mentzer practices at 2200 Blairsferry Crossing, Hiawatha, IA 52233. The listed phone number is (319) 294-9546.

What is Mark Mentzer's specialty?

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

Is Mark Mentzer enrolled in Medicare?

Yes. Mark Mentzer 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 Mentzer accept?

Health plans from Medica and Providence Health Plan list Mark Mentzer 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 Mentzer was last updated on June 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.