MR. MARK A KIDMAN OD
NPI 1447234554
Optometrist in Rochester, MN

Q: What is Mark Kidman's NPI number?

The NPI number for Mark Kidman is 1447234554. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Mark Kidman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Kidman was last updated on May 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment

3630 11TH AVE NW, ROCHESTER, MN 55901(507) 288-2457(507) 288-1299 Get Directions Write a Review

NPPES record last updated: May 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Mark A Kidman Od NPPES

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

MR. MARK A KIDMAN OD (NPI 1447234554) is an individual optometrist in Rochester, Minnesota, licensed in Minnesota (2742) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1999).

NPPES Registry Identity

NPI1447234554

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. MARK A KIDMANCredential: OD

Location Address3630 11TH AVE NWRochester, MN 55901-4276

Mailing Address3630 11th Ave NwRochester, MN 55901-4276 · (507) 288-2457 · Fax (507) 288-1299

Phone(507) 288-2457

Fax(507) 288-1299

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1999

Enumeration DateDecember 1, 2005

Last NPPES UpdateMay 28, 2009

✔ NPI 1447234554 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 MN · 2742

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.

3630 11TH AVE NW, Rochester, MN 55901

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Other Identifiers 8

Other1024471Preferred One

Medicare ID-Type Unspecified410001296MN

Medicare NSC1225850001MN

Other03S15KIMN · Bcbs Of Mn

Other2201279Mediea Choice Select

OtherHP44092Healthpartners

Medicare UPINU76472

Medicaid743070100MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Providence Health Plan.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

Mr. Mark A Kidman 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 ID8123152667

PECOS Enrollment IDI20100818001366, I20130515000506

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 2

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.

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.

156 services156 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.

148 services148 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55901 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 $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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.

DR. EVA Y SO OD

Optometrist