MARK ANTHONY HERRIOTT OD
NPI 1326046426
Optometrist in Lees Summit, MO

Active since July 12, 2005PECOS EnrolledAccepts Medicare Assignment
221 NW MCNARY CT, LEES SUMMIT, MO 64086(816) 524-8900(816) 525-2042 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Anthony Herriott Od NPPES

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

MARK ANTHONY HERRIOTT OD (NPI 1326046426) is an individual optometrist in Lees Summit, Missouri, licensed in Missouri (T-02710) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1986).

NPPES Registry Identity

NPI1326046426
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK ANTHONY HERRIOTTCredential: OD
Location Address221 NW MCNARY CTLees Summit, MO 64086-4011
Mailing Address221 Nw Mcnary CtLees Summit, MO 64086-4011 · (816) 524-8900 · Fax (816) 525-2042
Fax(816) 525-2042
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1986
Enumeration DateJuly 12, 2005
Last NPPES UpdateOctober 14, 2020
NPPES CertifiedOctober 14, 2020
NPI 1326046426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in MO · T-02710 Licensed in KS · 1253-2
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.
221 NW MCNARY CT, Lees Summit, MO 64086

Other Identifiers 10

Medicaid100218260AKS
Other5797073BMO · Medicare Id - Unspecified
Other13232012MO · Blue Cross Blue Shield Of Kansas City
Other650868KS · Medicare Id-type Unspecified
Other13232032KS · Blue Cross Blue Shield Of Kansas City
OtherDQ3063KS · Railroad Medicare
OtherKA1721002KS · Medicare Id-type Unspecified
Other410014216KS · Railroad Medicare
Other410038121MO · Medicare Rr
OtherP00830626KS · Railroad Medicare

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

Mark Anthony Herriott Od 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 ID7517997455
PECOS Enrollment IDI20100609000922, I20120330000467
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 6

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.
224 services213 patients
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.
87 services86 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.
57 services57 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).
29 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 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.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64086 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%90 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%35 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
53%2,247 patients3/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
88%2,247 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%2,247 patients1/55-star benchmark: 59%
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 6

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

Optometrist
221 NW MCNARY CT
LEES SUMMIT, MO 64086
Optometrist
221 NW MCNARY CT
LEES SUMMIT, MO 64086
Optometrist
221 NW MCNARY CT
LEES SUMMIT, MO 64086
Optometrist
221 NW MCNARY CT
LEES SUMMIT, MO 64086
Optometrist
221 NW MCNARY CT
LEES SUMMIT, MO 64086
Optometrist
221 NW MCNARY CT
LEES SUMMIT, MO 64086

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 Herriott's NPI number?

The NPI number for Mark Herriott is 1326046426. It was assigned to this individual provider in the NPPES registry on July 12, 2005.

Where is Mark Herriott located?

Mark Herriott practices at 221 NW Mcnary Ct, Lees Summit, MO 64086. The listed phone number is (816) 524-8900.

What is Mark Herriott's specialty?

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

Is Mark Herriott enrolled in Medicare?

Yes. Mark Herriott 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 Herriott accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 8 other insurers list Mark Herriott 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 Herriott was last updated on October 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.