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MARK L HEPNER OD
NPI 1851361125
Optometrist in Sunbury, PA

Active since January 26, 2006PECOS Enrolled
309 N 5TH ST, SUNBURY, PA 17801(570) 286-2541(570) 286-4180 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mark L Hepner Od NPPES

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

MARK L HEPNER OD (NPI 1851361125) is an individual optometrist in Sunbury, Pennsylvania, licensed in Pennsylvania (OE007711P) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1994).

NPPES Registry Identity

NPI1851361125
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARK L HEPNERCredential: OD
Location Address309 N 5TH STSunbury, PA 17801-2000
Mailing Address309 N 5th StSunbury, PA 17801-2000 · (570) 286-2541 · Fax (570) 286-4180
Phone(570) 286-2541
Fax(570) 286-4180
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1994
Enumeration DateJanuary 26, 2006
Last NPPES UpdateDecember 11, 2014
✔ NPI 1851361125 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 PA · OE007711P
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.
309 N 5TH ST, Sunbury, PA 17801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark L Hepner Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466575782
PECOS Enrollment IDI20110127000752
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 Mark Hepner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mark L Hepner Optometrist LLC
0.6 mi
Optometrist
309 N 5TH ST
Sunbury, PA 17801
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1558676064 (570) 286-2541

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 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 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.
164 services149 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.
29 services19 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17801 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

MARK L HEPNER OPTOMETRIST LLC
Eyewear Supplier
309 N 5TH ST
SUNBURY, PA 17801
Northumberland County (570) 286-2541
MR. DONALD FRANKLIN SHIPE II DPT
Physical Therapist
309 N 5TH ST, SUITE E
SUNBURY, PA 17801
Northumberland County (570) 286-7462
GERRISA STRONY MPT
Physical Therapist (Orthopedic)
309 N 5TH ST
SUNBURY, PA 17801
Northumberland County (570) 286-7462
SHOCH PHYSICAL THERAPY INC
Clinic/Center (Physical Therapy)
309 N 5TH ST, SUITE E
SUNBURY, PA 17801
Northumberland County (570) 286-7462
MARK L HEPNER OPTOMETRIST LLC
Optometrist
309 N 5TH ST
SUNBURY, PA 17801
Northumberland County (570) 286-2541
MARK E. SHOCH PT
Physical Therapist
309 N 5TH ST, SUITE E
SUNBURY, PA 17801
Northumberland County (570) 286-7462

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 Hepner's NPI number?

The NPI number for Mark Hepner is 1851361125. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Mark Hepner located?

Mark Hepner practices at 309 N 5th St, Sunbury, PA 17801. The listed phone number is (570) 286-2541.

What is Mark Hepner's specialty?

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

Is Mark Hepner enrolled in Medicare?

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

Which organization bills Medicare for Mark Hepner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hepner reassigns Medicare benefits to Mark L Hepner Optometrist LLC (Sunbury, PA). 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 Mark Hepner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Hepner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 6 other insurers list Mark Hepner 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 Hepner was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.