1. Home
  2. Directory
  3. Ohio
  4. Newark
  5. Optometrist
  6. NPI Profile

DR. MARK JAMES PETRYKOWSKI O.D.
NPI 1811955347
Optometrist in Newark, OH

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
1494 W MAIN ST, NEWARK, OH 43055(740) 344-4747 Get Directions Write a Review

NPPES record last updated: June 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark James Petrykowski O.d. NPPES

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

DR. MARK JAMES PETRYKOWSKI O.D. (NPI 1811955347) is an individual optometrist in Newark, Ohio, licensed in Ohio (4222) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1990).

NPPES Registry Identity

NPI1811955347
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK JAMES PETRYKOWSKICredential: O.D.
Location Address1494 W MAIN STNewark, OH 43055-1825
Mailing Address1494 W Main StNewark, OH 43055-1825 · (740) 344-4747
Phone(740) 344-4747
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1990
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 9, 2011
✔ NPI 1811955347 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 OH · 4222
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.
1494 W MAIN ST, Newark, OH 43055
Open in Google Maps ↗

Other Identifiers 3

Medicare PINPE0752896OH
Medicaid0934958OH
Medicare UPINU11472OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, 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 James Petrykowski O.d. 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 ID7416953997
PECOS Enrollment IDI20061005000280
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.

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.
45 services40 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.
31 services31 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

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

DEL OPTICIANS, LLC
Eyewear Supplier
1494 W MAIN ST
NEWARK, OH 43055
Licking County (740) 927-8152

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 Petrykowski's NPI number?

The NPI number for Mark Petrykowski is 1811955347. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Mark Petrykowski located?

Mark Petrykowski practices at 1494 W Main St, Newark, OH 43055. The listed phone number is (740) 344-4747.

What is Mark Petrykowski's specialty?

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

Is Mark Petrykowski enrolled in Medicare?

Yes. Mark Petrykowski 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 Petrykowski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Mark Petrykowski 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 Petrykowski was last updated on June 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.