MARK RAYMOND MAXON OD
NPI 1851437479
Optometrist in Syracuse, NY
About Mark Raymond Maxon Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK RAYMOND MAXON OD (NPI 1851437479) is an individual optometrist in Syracuse, New York, licensed in New York (TUV0051831) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Raymond Maxon Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mark Maxon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, NY 13066
- Reassigned Medicare billing, New York enrollment
- 3 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SYRACUSE, NY 13210
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 Maxon's NPI number?
The NPI number for Mark Maxon is 1851437479. It was assigned to this individual provider in the NPPES registry on January 30, 2007.
Where is Mark Maxon located?
Mark Maxon practices at 720 University Ave Ste 110, Syracuse, NY 13210. The listed phone number is (315) 425-0373.
What is Mark Maxon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mark Maxon enrolled in Medicare?
Yes. Mark Maxon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mark Maxon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Maxon reassigns Medicare benefits to National Eye Care, Inc (Fayetteville, NY). 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 Maxon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Maxon accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health and 7 other insurers list Mark Maxon 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 Maxon was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mark Raymond Maxon, OD · NPI 1851437479
Optometrist provider in Syracuse, New York. Individual provider, active in the CMS NPPES registry since January 30, 2007.
## Identity
- **NPI:** 1851437479 (Entity type: Individual)
- **Enumerated:** January 30, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV0051831 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 UNIVERSITY AVE, STE 110, Syracuse, NY 13210-1702
- **Phone:** (315) 425-0373 · **Fax:** (315) 425-0373
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** National Eye Care, Inc (NPI 1427405133, Fayetteville, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1851437479) · Data from the CMS NPPES public registry.