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DR. MARK ALAN DALTON O.D.
NPI 1942291547
Optometrist - Corneal and Contact Management in Sullivan, MO

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
14 COMMUNITY PLZ, SULLIVAN, MO 63080(573) 468-2020(636) 556-9952 Get Directions Write a Review

NPPES record last updated: August 7, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Alan Dalton O.d. NPPES

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

DR. MARK ALAN DALTON O.D. (NPI 1942291547) is an individual corneal and contact management provider in Sullivan, Missouri, licensed in Missouri (2002015836) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2002).

NPPES Registry Identity

NPI1942291547
Entity TypeIndividualMale
Primary Taxonomy152WC0802X
Provider Legal NameDR. MARK ALAN DALTONCredential: O.D.
Location Address14 COMMUNITY PLZSullivan, MO 63080-1567
Mailing AddressPo Box 280Saint Clair, MO 63077-0280 · (573) 468-2020 · Fax (877) 428-6732
Phone(573) 468-2020
Fax(636) 556-9952
Sole ProprietorYes
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2002
Enumeration DateNovember 2, 2005
Last NPPES UpdateAugust 7, 2014
✔ NPI 1942291547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in MO · 2002015836
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
14 COMMUNITY PLZ, Sullivan, MO 63080
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Other Identifiers 2

Medicare UPINU91897MO
Medicaid315935700MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower 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 Alan Dalton 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 ID7618183039
PECOS Enrollment IDI20111123000092
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

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.
19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63080 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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 Dalton's NPI number?

The NPI number for Mark Dalton is 1942291547. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Mark Dalton located?

Mark Dalton practices at 14 Community Plz, Sullivan, MO 63080. The listed phone number is (573) 468-2020.

What is Mark Dalton's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Mark Dalton enrolled in Medicare?

Yes. Mark Dalton 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 Dalton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 11 other insurers list Mark Dalton 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 Dalton was last updated on August 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.