MARK PHILIP MACMILLAN O.D.
NPI 1285078014
Optometrist - Corneal and Contact Management in Richmond, VA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Mark Macmillan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, VA 23229
- Reassigned Medicare billing, Virginia enrollment
- 13 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 460 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
RICHMOND, VA 23226
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.
Which organizations bill Medicare for Mark Macmillan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Macmillan reassigns Medicare benefits to 2 organizations: Grove Ave Eye Center PC (Richmond, VA) and University Of Alabama At Birmingham (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Macmillan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Macmillan accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers 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.
# Mark Philip Macmillan, O.D. · NPI 1285078014
Corneal and Contact Management provider in Richmond, Virginia. Individual provider, active in the CMS NPPES registry since April 23, 2013.
## Identity
- **NPI:** 1285078014 (Entity type: Individual)
- **Enumerated:** April 23, 2013
- **Primary specialty:** Optometrist - Corneal and Contact Management · taxonomy 152WC0802X
- **State license:** 0618002308 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 WESTHAMPTON STA, Richmond, VA 23226-3330
- **Phone:** (804) 287-4200 · **Fax:** (804) 287-4210
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grove Ave Eye Center PC (NPI 1801976097, Richmond, VA); University Of Alabama At Birmingham (NPI 1861704934, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 17, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1285078014) · Data from the CMS NPPES public registry.