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MARK PHILIP MACMILLAN O.D.
NPI 1285078014
Optometrist - Corneal and Contact Management in Richmond, VA

Active since April 23, 2013PECOS EnrolledAccepts Medicare Assignment
88.61/100
CMS Quality Rating
400 WESTHAMPTON STA, RICHMOND, VA 23226(804) 287-4200(804) 287-4210 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark Philip Macmillan O.d. NPPES

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

MARK PHILIP MACMILLAN O.D. (NPI 1285078014) is an individual corneal and contact management provider in Richmond, Virginia, licensed in Virginia (0618002308) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1285078014
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameMARK PHILIP MACMILLANCredential: O.D.
Location Address400 WESTHAMPTON STARichmond, VA 23226-3330
Mailing Address400 Westhampton StaRichmond, VA 23226-3330 · (804) 287-4200 · Fax (804) 287-4210
Phone(804) 287-4200
Fax(804) 287-4210
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 23, 2013
Last NPPES UpdateMay 17, 2016
✔ NPI 1285078014 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
License✔ Licensed in VA · 0618002308
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.
400 WESTHAMPTON STA, Richmond, VA 23226
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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

Mark Philip Macmillan 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 ID5991945313
PECOS Enrollment IDI20150309001959
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.

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.
249 services246 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.
140 services139 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.
96 services63 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
40 services40 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.
32 services28 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).
23 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23226 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

88.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.23
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

RAIHANA SHERDIL
Optometrist
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 287-4200
JOSEPH ROBERT GRUBBS JR.
Ophthalmology
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 287-4200
DR. CRYSTAN M SCHNEIDER MD
Ophthalmology
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 443-6180
VIRGINIA DANIEL FNP
Nurse Practitioner (Family)
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 287-4200
DR. HAEJIN ESTHER HAN O.D.
Optometrist
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 287-4200
AGNES DELORES DAWES NURSE PRACTITIONER
Nurse Practitioner (Acute Care)
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 287-4200
ANTHONY DOMINIC SAKOWSKI JR. M.D.
Ophthalmology
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 287-4200
EYE SURGEONS OF RICHMOND, INC.
Eyewear Supplier
400 WESTHAMPTON STA
RICHMOND, VA 23226
Richmond City (804) 287-4200

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 Macmillan's NPI number?

The NPI number for Mark Macmillan is 1285078014. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Mark Macmillan located?

Mark Macmillan practices at 400 Westhampton Sta, Richmond, VA 23226. The listed phone number is (804) 287-4200.

What is Mark Macmillan's specialty?

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

Is Mark Macmillan enrolled in Medicare?

Yes. Mark Macmillan 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 Macmillan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mark Macmillan 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 Macmillan was last updated on May 17, 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.