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DR. MARK E SCHMIDT O.D.
NPI 1245281161
Optometrist in Sewickley, PA

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
111 HAZEL LN, SUITE 102, SEWICKLEY, PA 15143(412) 741-5577(412) 741-1141 Get Directions Write a Review

NPPES record last updated: March 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark E Schmidt O.d. NPPES

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

DR. MARK E SCHMIDT O.D. (NPI 1245281161) is an individual optometrist in Sewickley, Pennsylvania, licensed in Pennsylvania (0EG00529) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1986).

NPPES Registry Identity

NPI1245281161
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK E SCHMIDTCredential: O.D.
Location Address111 HAZEL LN, SUITE 102Sewickley, PA 15143-1253
Mailing Address111 Hazel Ln, Suite 102Sewickley, PA 15143-1253 · (412) 741-5577 · Fax (412) 741-1141
Phone(412) 741-5577
Fax(412) 741-1141
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1986
Enumeration DateMay 15, 2006
Last NPPES UpdateMarch 3, 2016
✔ NPI 1245281161 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 PA · 0EG00529
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.
111 HAZEL LN, Sewickley, PA 15143
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Other Identifiers 2

Medicare PIN630210PA
Medicare UPINU46844PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 E Schmidt 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 ID6709882301
PECOS Enrollment IDI20061004000304
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 2

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 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.
28 services28 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15143 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

HEATHER LEA STEINMETZ
Social Worker
111 HAZEL LN
SEWICKLEY, PA 15143
Allegheny County (412) 749-7029
JOHANNA SPERANDEO REGISTERED NURSE
Registered Nurse (Psychiatric/Mental Health)
111 HAZEL LN
EDGEWORTH, PA 15143
Allegheny County (412) 749-7330
DOMINIQUE FLINT LPC
Counselor (Professional)
111 HAZEL LN
SEWICKLEY, PA 15143
Allegheny County (412) 741-6600
DANIEL J. NADLER MD PC
Ophthalmology
111 HAZEL LN, STE 102
SEWICKLEY, PA 15143
Allegheny County (412) 741-5577
ELISE MARIE ORBAN CRNP
Nurse Practitioner (Pediatrics)
111 HAZEL LN
SEWICKLEY, PA 15143
Allegheny County (412) 741-8700
HERITAGE VALLEY MEDICAL GROUP, INC.
Psychiatry & Neurology (Psychiatry)
111 HAZEL LN, SUITE 300
SEWICKLEY, PA 15143
Allegheny County (412) 749-7330
JAMIE LYNN DUNN PA-C
Physician Assistant
111 HAZEL LN, SUITE 100
SEWICKLEY, PA 15143
Allegheny County (412) 741-8862
KAITLIN UNIEJEWSKI LPC
Counselor (Professional)
111 HAZEL LN
SEWICKLEY, PA 15143
Allegheny County (412) 749-7330

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 Schmidt's NPI number?

The NPI number for Mark Schmidt is 1245281161. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Mark Schmidt located?

Mark Schmidt practices at 111 Hazel Ln Suite 102, Sewickley, PA 15143. The listed phone number is (412) 741-5577.

What is Mark Schmidt's specialty?

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

Is Mark Schmidt enrolled in Medicare?

Yes. Mark Schmidt 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 Schmidt accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Mark Schmidt 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 Schmidt was last updated on March 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.