DR. MARK A. MLSNA O.D.
NPI 1386743425
Optometrist in Menomonee Falls, WI

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
N89W16785 APPLETON AVE, MENOMONEE FALLS, WI 53051(262) 253-4000(262) 253-4100 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark A. Mlsna O.d. NPPES

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

DR. MARK A. MLSNA O.D. (NPI 1386743425) is an individual optometrist in Menomonee Falls, Wisconsin, licensed in Wisconsin (TPA 2057-035) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1984).

NPPES Registry Identity

NPI1386743425
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK A. MLSNACredential: O.D.
Location AddressN89W16785 APPLETON AVEMenomonee Falls, WI 53051-2071
Mailing AddressN89w16785 Appleton AveMenomonee Falls, WI 53051-2071 · (262) 253-4000 · Fax (262) 253-4100
Fax(262) 253-4100
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1984
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1386743425 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 WI · TPA 2057-035
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.

N89W16785 APPLETON AVE, Menomonee Falls, WI 53051

Other Identifiers 4

Medicare ID-Type Unspecified0210WI · Dr. Mark A. Mlsna
Medicare ID-Type UnspecifiedDA9707WI · Railroad Medicare Groupid
Medicare UPINV18837WI
Medicare NSC5177280001WI

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

Dr. Mark A. Mlsna 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 ID4082644760
PECOS Enrollment IDI20050813000100
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.

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.
251 services238 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.
235 services173 patients
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.
221 services145 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).
106 services81 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.
70 services58 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.
48 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

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.

Ophthalmology
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051
Dentist (Oral and Maxillofacial Surgery)
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051
Psychologist
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051
Eyewear Supplier
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051
Eyewear Supplier
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051
Ophthalmology
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051
Counselor (Professional)
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051
Counselor (Professional)
N89W16785 APPLETON AVE
MENOMONEE FALLS, WI 53051

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 Mlsna's NPI number?

The NPI number for Mark Mlsna is 1386743425. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Mark Mlsna located?

Mark Mlsna practices at N89w16785 Appleton Ave, Menomonee Falls, WI 53051. The listed phone number is (262) 253-4000.

What is Mark Mlsna's specialty?

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

Is Mark Mlsna enrolled in Medicare?

Yes. Mark Mlsna 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 Mlsna accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Mark Mlsna 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 Mlsna was last updated on July 9, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.