MARTIN W MIZENER MD
NPI 1316929383
Ophthalmology in Omaha, NE

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
68.72/100
CMS Quality Rating
4353 DODGE ST, OMAHA, NE 68131(402) 552-2020 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2021, May 16, 2017 (2 updates tracked since 2017).

About Martin W Mizener Md NPPES

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

MARTIN W MIZENER MD (NPI 1316929383) is an individual ophthalmology provider in Omaha, Nebraska, licensed in Nebraska (20146) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Methodist Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1988).

NPPES Registry Identity

NPI1316929383
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARTIN W MIZENERCredential: MD
Location Address4353 DODGE STOmaha, NE 68131-2709
Mailing Address4353 Dodge StOmaha, NE 68131-2709 · (402) 552-2020
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1988
Enumeration DateNovember 16, 2005
Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
NPI 1316929383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NE · 20146 Licensed in IA · 29056
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 20146 (NE), 29056 (IA)
4353 DODGE ST, Omaha, NE 68131

Other Identifiers 1

Medicaid47080542812NE

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

Martin W Mizener Md 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 ID143362129
PECOS Enrollment IDI20100521000429, I20100521000584
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 19

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.
823 services640 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.
815 services691 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).
676 services655 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.
645 services639 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.
324 services274 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.
153 services127 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Methodist Hospital

Acute Care Hospitals · Omaha, NE
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280040
Location8303 Dodge StOmaha, NE 68114 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68131 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
$121.35 typical visit price
range $52.69 – $160.21
Typical copayment $30.33 (range $13.17 – $40.05)
Most-billed visit code 99204
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

68.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.17
Promoting Interoperability86
Improvement Activities40
Cost40.24

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.

Ophthalmology
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131
Technician/Technologist (Optician)
4353 DODGE ST
OMAHA, NE 68131
Optometrist
4353 DODGE ST
OMAHA, NE 68131
Clinic/Center (Ambulatory Surgical)
4353 DODGE ST, LOWER LEVEL
OMAHA, NE 68131
Optometrist
4353 DODGE ST
OMAHA, NE 68131
Ophthalmology
4353 DODGE ST
OMAHA, NE 68131

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 Martin Mizener's NPI number?

The NPI number for Martin Mizener is 1316929383. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Martin Mizener located?

Martin Mizener practices at 4353 Dodge St, Omaha, NE 68131. The listed phone number is (402) 552-2020.

What is Martin Mizener's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Martin Mizener enrolled in Medicare?

Yes. Martin Mizener 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 Martin Mizener accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 4 other insurers list Martin Mizener 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.

Is Martin Mizener affiliated with any hospitals?

According to CMS data, Martin Mizener is affiliated with The Nebraska Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Martin Mizener was last updated on September 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.