MARK C AUSTIN MD
NPI 1487697959
Ophthalmology in Appleton, WI

Q: What is Mark Austin's NPI number?

The NPI number for Mark Austin is 1487697959. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Mark Austin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Austin was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 13, 2006PECOS Enrolled

1301 E NORTHLAND AVE, STE A, APPLETON, WI 54911(920) 734-8714(920) 734-8785 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mark C Austin Md NPPES

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

MARK C AUSTIN MD (NPI 1487697959) is an individual ophthalmology provider in Appleton, Wisconsin, licensed in Wisconsin (33602) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487697959

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMARK C AUSTINCredential: MD

Location Address1301 E NORTHLAND AVE, STE AAppleton, WI 54911-8426

Mailing Address1301 E Northland Ave, Ste AAppleton, WI 54911-8426 · (920) 734-8714 · Fax (920) 734-8785

Phone(920) 734-8714

Fax(920) 734-8785

Sole ProprietorNo

Enumeration DateJune 13, 2006

Last NPPES UpdateDecember 2, 2009

✔ NPI 1487697959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WI · 33602

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.

1301 E NORTHLAND AVE, Appleton, WI 54911

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Other Identifiers 4

Other180030240WI · Railroad Medicare

Medicare ID-Type Unspecified000145225

Medicare UPINF13485WI

Medicaid32890500WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark C Austin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.

196 services177 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.

128 services128 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).

124 services118 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.

101 services94 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.

65 services60 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

42 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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.

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.

PAUL K THOMPSON O.D.

Optometrist

1301 E NORTHLAND AVE, SUITE A
APPLETON, WI 54911

Outagamie County (920) 734-8714

DR. THERESA LYNN SCHINKE DPM

Podiatrist

1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911

Outagamie County (920) 731-1999

EYEWEAR SPECIALISTS, INC

Eyewear Supplier

1301 E NORTHLAND AVE, STE A
APPLETON, WI 54911

Outagamie County (920) 734-8714

DR. TODD ALAN DERKSEN DPM

Podiatrist (Foot & Ankle Surgery)

1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911

Outagamie County (920) 731-1999

DR. TIMOTHY KEVIN TOUGAS DPM

Podiatrist (Primary Podiatric Medicine)

1301 E NORTHLAND AVE, SUITE B
APPLETON, WI 54911

Outagamie County (920) 731-1999

NORTHEAST WISCONSIN FOOT AND ANKLE ASSOC., S.C.

Podiatrist (Primary Podiatric Medicine)

1301 E NORTHLAND AVE, STE B
APPLETON, WI 54911

Outagamie County (920) 731-1999

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 Austin's NPI number?

The NPI number for Mark Austin is 1487697959. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Mark Austin located?

Mark Austin practices at 1301 E Northland Ave Ste A, Appleton, WI 54911. The listed phone number is (920) 734-8714.

What is Mark Austin's specialty?

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

Is Mark Austin enrolled in Medicare?

Yes. Mark Austin is registered in the Medicare PECOS enrollment system.

What insurance does Mark Austin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Mark Austin 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 Austin was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.