MACKENZIE LANE COYNE
NPI 1811799570
Optometrist in Baltimore, MD

Q: What is Mackenzie Coyne's NPI number?

The NPI number for Mackenzie Coyne is 1811799570. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Q: What is Mackenzie Coyne'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 Mackenzie Coyne was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 March 25, 2025PECOS Enrolled

4940 EASTERN AVE, BALTIMORE, MD 21224(410) 550-5568 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 25, 2025, Mar 25, 2025 (2 updates tracked since 2025).

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About Mackenzie Lane Coyne NPPES

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

MACKENZIE LANE COYNE (NPI 1811799570) is an individual optometrist in Baltimore, Maryland, licensed in Maryland (TA3064) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Bayview Medical Center, and is a graduate of Ohio State University - College Of Optometry (2025).

NPPES Registry Identity

NPI1811799570

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMACKENZIE LANE COYNE

Location Address4940 EASTERN AVEBaltimore, MD 21224-2735

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004

Phone(410) 550-5568

Sole ProprietorNo

Medical School CMSOhio State University - College Of OptometryGraduated 2025

Enumeration DateMarch 25, 2025

Last NPPES UpdateJune 25, 20252 updates tracked since enumeration

NPPES CertifiedJune 25, 2025

✔ NPI 1811799570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MD · TA3064

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4940 EASTERN AVE, Baltimore, MD 21224

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Lane Coyne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961916382

PECOS Enrollment IDI20250708004111

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210029

Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

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 20

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

DR. SUSRUTHA KOTWAL MD

Internal Medicine

4940 EASTERN AVE, MFL BLDG, WEST TOWER, 6TH FLOOR
BALTIMORE, MD 21224

Baltimore City (410) 550-5018

DR. SAMANTHA A WOLFE MD

Otolaryngology