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DR. MARK D STOVALL OD
NPI 1609823905
Optometrist in Louisville, KY

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
120 W MARKET ST, LOUISVILLE, KY 40202(502) 585-2020(502) 585-1797 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark D Stovall Od NPPES

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

DR. MARK D STOVALL OD (NPI 1609823905) is an individual optometrist in Louisville, Kentucky, licensed in Kentucky (1147DT) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (1988).

NPPES Registry Identity

NPI1609823905
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK D STOVALLCredential: OD
Location Address120 W MARKET STLouisville, KY 40202-1332
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(502) 585-2020
Fax(502) 585-1797
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 1988
Enumeration DateMay 30, 2006
Last NPPES UpdateDecember 22, 2022
NPPES CertifiedDecember 22, 2022
✔ NPI 1609823905 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 KY · 1147DT
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.
120 W MARKET ST, Louisville, KY 40202
Open in Google Maps ↗

Other Identifiers 2

Other410048660KY · Railroad Medicare
Medicaid77011476KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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 D Stovall 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 ID2961586888
PECOS Enrollment IDI20080229000509
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 3

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,426 services12 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.
224 services186 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 3

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

DR. MARK D STOVALL, PSC
Optometrist
120 W MARKET ST
LOUISVILLE, KY 40202
Jefferson County (502) 585-2020
MYEYEDR OPTOMETRY OF KENTUCKY, PLLC
Optometrist
120 W MARKET ST
LOUISVILLE, KY 40202
Jefferson County (502) 585-2020
DR. KATHY J VANCE OD
Optometrist
120 W MARKET ST
LOUISVILLE, KY 40202
Jefferson County (502) 585-2020

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 Stovall's NPI number?

The NPI number for Mark Stovall is 1609823905. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Mark Stovall located?

Mark Stovall practices at 120 W Market St, Louisville, KY 40202. The listed phone number is (502) 585-2020.

What is Mark Stovall's specialty?

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

Is Mark Stovall enrolled in Medicare?

Yes. Mark Stovall 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 Stovall accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Blue Cross Blue Shield of Wyoming and 5 other insurers list Mark Stovall 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 Stovall was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.