DR. ANDREW JAMES MACKNER OD
NPI 1639646664
Optometrist in Edina, MN

Active since October 29, 2018PECOS EnrolledAccepts Medicare Assignment
86.34/100
CMS Quality Rating
7450 FRANCE AVE S STE 100, EDINA, MN 55435(952) 832-8100 Get Directions Write a Review

NPPES record last updated: September 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2019, Sep 21, 2019, Oct 29, 2018 (3 updates tracked since 2018).

About Dr. Andrew James Mackner Od NPPES

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

DR. ANDREW JAMES MACKNER OD (NPI 1639646664) is an individual optometrist in Edina, Minnesota, licensed in Minnesota (3655) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Iselin, and is a graduate of Pacific University - College Of Optometry (2018).

NPPES Registry Identity

NPI1639646664
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANDREW JAMES MACKNERCredential: OD
Location Address7450 FRANCE AVE S STE 100Edina, MN 55435-4799
Mailing Address7450 France Ave S Ste 100Edina, MN 55435-4799 · (952) 832-8100
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2018
Enumeration DateOctober 29, 2018
Last NPPES UpdateSeptember 23, 20193 updates tracked since enumeration
✔ NPI 1639646664 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 MN · 3655✔ Licensed in NJ · 27OA00684100
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.
7450 FRANCE AVE S STE 100, Edina, MN 55435

Secondary Practice Location 1

Location 1Omni Eye Services, 485 US-1Iselin, NJ 08830 · Phone (732) 750-0400

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrew James Mackner 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 ID8022349760
PECOS Enrollment IDI20191011000380
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.

Medicare Billing Reassignment

Medicare enrollment records show Andrew Mackner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ophthalmology
7450 FRANCE AVE S, SUITE 100
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.
340 services339 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.
151 services135 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.
116 services99 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).
81 services77 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
81 services70 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.
79 services77 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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.

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.

86.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.53
Promoting Interoperability94
Improvement Activities40
Cost59.95

Other Providers at the Same Location NPPES 4

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

Ophthalmology
7450 FRANCE AVE S STE 100
EDINA, MN 55435
Ophthalmology
7450 FRANCE AVE S STE 100
EDINA, MN 55435
Optometrist
7450 FRANCE AVE S STE 100
EDINA, MN 55435
Ophthalmology
7450 FRANCE AVE S STE 100
EDINA, MN 55435

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 Andrew Mackner's NPI number?

The NPI number for Andrew Mackner is 1639646664. It was assigned to this individual provider in the NPPES registry on October 29, 2018.

Where is Andrew Mackner located?

Andrew Mackner practices at 7450 France Ave S Ste 100, Edina, MN 55435. The listed phone number is (952) 832-8100.

What is Andrew Mackner's specialty?

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

Is Andrew Mackner enrolled in Medicare?

Yes. Andrew Mackner 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.

Which organization bills Medicare for Andrew Mackner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Mackner reassigns Medicare benefits to Edina Eye Physicians And Surgeons PA (Edina, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Mackner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Mackner accept?

Health plans from Providence Health Plan list Andrew Mackner 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 Andrew Mackner was last updated on September 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.