MR. MAX L CARLISLE O.D.
NPI 1205839685
Optometrist in Fairview, OK

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
111 E BROADWAY, FAIRVIEW, OK 73737(580) 227-4878(580) 227-4666 Get Directions Write a Review

NPPES record last updated: December 23, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Max L Carlisle O.d. NPPES

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

MR. MAX L CARLISLE O.D. (NPI 1205839685) is an individual optometrist in Fairview, Oklahoma, licensed in Oklahoma (973) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1980).

NPPES Registry Identity

NPI1205839685
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. MAX L CARLISLECredential: O.D.
Location Address111 E BROADWAYFairview, OK 73737-2124
Mailing Address111 E BroadwayFairview, OK 73737-2124 · (580) 227-4878 · Fax (580) 227-4666
Fax(580) 227-4666
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1980
Enumeration DateMay 31, 2005
Last NPPES UpdateDecember 23, 2013
NPI 1205839685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OK · 973
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.

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 973 (OK)
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 973 (OK)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 973 (OK)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 973 (OK)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 973 (OK)
Also ListedOptometrist · Occupational VisionTaxonomy 152WX0102X · License 973 (OK)
111 E BROADWAY, Fairview, OK 73737

Other Identifiers 5

Medicare UPINT40382OK
Medicaid100766110AOK
Other410046324OK · Railroad Medicare
Medicare PIN243802401OK
Other0246290001OK · Palmetto Dmerc

Accepted 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

Mr. Max L Carlisle 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 ID3072695485
PECOS Enrollment IDI20080124000177
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 5

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 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.
205 services171 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.
73 services68 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.
40 services36 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
20 services18 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).
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73737 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.

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%27 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 2

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

Optometrist
111 E BROADWAY
FAIRVIEW, OK 73737
Optometrist
111 E BROADWAY
FAIRVIEW, OK 73737

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 Max Carlisle's NPI number?

The NPI number for Max Carlisle is 1205839685. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Max Carlisle located?

Max Carlisle practices at 111 E Broadway, Fairview, OK 73737. The listed phone number is (580) 227-4878.

What is Max Carlisle's specialty?

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

Is Max Carlisle enrolled in Medicare?

Yes. Max Carlisle 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 Max Carlisle 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 2 other insurers list Max Carlisle 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 Max Carlisle was last updated on December 23, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.