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DR. MARK SCHAEFFER O.D.
NPI 1194005850
Optometrist in Hoover, AL

Active since August 25, 2011PECOS EnrolledAccepts Medicare Assignment
1598 MONTGOMERY HWY, HOOVER, AL 35216(205) 979-2020 Get Directions Write a Review

NPPES record last updated: June 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark Schaeffer O.d. NPPES

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

DR. MARK SCHAEFFER O.D. (NPI 1194005850) is an individual optometrist in Hoover, Alabama, licensed in Alabama (S-C77-TA-921) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2011).

NPPES Registry Identity

NPI1194005850
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK SCHAEFFERCredential: O.D.
Location Address1598 MONTGOMERY HWYHoover, AL 35216-4525
Mailing Address1598 Montgomery HwyHoover, AL 35216-4525
Phone(205) 979-2020
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2011
Enumeration DateAugust 25, 2011
Last NPPES UpdateJune 4, 2012
✔ NPI 1194005850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in AL · S-C77-TA-921✔ Licensed in FL · OPC004618
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.
1598 MONTGOMERY HWY, Hoover, AL 35216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama 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 Schaeffer 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 ID5193971703
PECOS Enrollment IDI20120815000306
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 7

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 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.
51 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services41 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).
36 services29 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
30 services30 patients
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.
22 services22 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.
22 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35216 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 6

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

MOUNTAIN SMILES - HOOVER PLLC
Clinic/Center (Dental)
1598 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216
Jefferson County (205) 582-8570
DR. JAMES A. BEGUN O.D.
Optometrist
1598 MONTGOMERY HWY
HOOVER, AL 35216
Jefferson County (205) 979-2020
DR. MORGAN B TAYLOR DMD
Dentist
1598 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216
Jefferson County (205) 582-8570
DR. DAVID C. KING O.D.
Optometrist
1598 MONTGOMERY HWY
HOOVER, AL 35216
Jefferson County (205) 979-2020
STONECREEK DENTAL OF ALABAMA
Clinic/Center (Dental)
1598 MONTGOMERY HWY
VESTAVIA HILLS, AL 35216
Jefferson County (205) 919-1750
DR. JACK L. SCHAEFFER O.D.
Optometrist
1598 MONTGOMERY HWY
HOOVER, AL 35216
Jefferson County (205) 979-2020

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 Schaeffer's NPI number?

The NPI number for Mark Schaeffer is 1194005850. It was assigned to this individual provider in the NPPES registry on August 25, 2011.

Where is Mark Schaeffer located?

Mark Schaeffer practices at 1598 Montgomery Hwy, Hoover, AL 35216. The listed phone number is (205) 979-2020.

What is Mark Schaeffer's specialty?

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

Is Mark Schaeffer enrolled in Medicare?

Yes. Mark Schaeffer 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 Schaeffer accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 7 other insurers list Mark Schaeffer 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 Schaeffer was last updated on June 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.