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DR. MARK A. DUMBAULD O.D.
NPI 1891784658
Optometrist in East Palestine, OH

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
55 W MARTIN ST, EAST PALESTINE, OH 44413(330) 426-3428(330) 426-3428 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A. Dumbauld O.d. NPPES

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

DR. MARK A. DUMBAULD O.D. (NPI 1891784658) is an individual optometrist in East Palestine, Ohio, licensed in Ohio (4276) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (1991).

NPPES Registry Identity

NPI1891784658
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARK A. DUMBAULDCredential: O.D.
Location Address55 W MARTIN STEast Palestine, OH 44413-1761
Mailing Address55 W Martin St, P.o. Box 47East Palestine, OH 44413-1761 · (330) 426-3428 · Fax (330) 426-3428
Phone(330) 426-3428
Fax(330) 426-3428
Sole ProprietorYes
Medical School CMSOhio State University - College Of OptometryGraduated 1991
Enumeration DateOctober 14, 2005
Last NPPES UpdateJune 26, 2008
✔ NPI 1891784658 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 · 4276
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.
55 W MARTIN ST, East Palestine, OH 44413
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Other Identifiers 4

Medicare NSC0484190001
Medicare PINDU0702691
Medicare UPINU21787
Medicaid0843716OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Providence Health Plan 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 A. Dumbauld 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 ID5991810434
PECOS Enrollment IDI20120406000331
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 2

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.
132 services132 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.
28 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44413 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.

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 Dumbauld's NPI number?

The NPI number for Mark Dumbauld is 1891784658. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Mark Dumbauld located?

Mark Dumbauld practices at 55 W Martin St, East Palestine, OH 44413. The listed phone number is (330) 426-3428.

What is Mark Dumbauld's specialty?

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

Is Mark Dumbauld enrolled in Medicare?

Yes. Mark Dumbauld 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 Dumbauld accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Providence Health Plan and UnitedHealthcare list Mark Dumbauld 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 Dumbauld was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.