DR. MARK ANTHONY PLUMB O.D.
NPI 1952474140
Optometrist in Royal Palm Beach, FL

Q: What is Mark Plumb's NPI number?

The NPI number for Mark Plumb is 1952474140. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Q: What is Mark Plumb's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Plumb was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since November 16, 2006PECOS Enrolled

11388 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411(561) 795-8833 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Mark Anthony Plumb O.d. NPPES

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

DR. MARK ANTHONY PLUMB O.D. (NPI 1952474140) is an individual optometrist in Royal Palm Beach, Florida, licensed in Florida (OPC003267) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1994).

NPPES Registry Identity

NPI1952474140

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARK ANTHONY PLUMBCredential: O.D.

Location Address11388 OKEECHOBEE BLVDRoyal Palm Beach, FL 33411-8705

Mailing Address10652 Old Hammock WayWellington, FL 33414-3148 · (561) 596-9775

Phone(561) 795-8833

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 1994

Enumeration DateNovember 16, 2006

Last NPPES UpdateApril 2, 2018

✔ NPI 1952474140 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 FL · OPC003267

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.

11388 OKEECHOBEE BLVD, Royal Palm Beach, FL 33411

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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)

Dr. Mark Anthony Plumb O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395878797

PECOS Enrollment IDI20100805000812

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 Reassignments

Medicare enrollment records show Mark Plumb reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mark A Plumb Od PA

2.9 mi

Optometrist

10652 OLD HAMMOCK WAY
Wellington, FL 33414

Reassigned Medicare billing, Florida enrollment

NPI 1174853824 (561) 795-8833

Jeffrey D. Hixenbaugh, O.D., P.A.

13 mi

Optometrist

3101 PGA BLVD, SUITE A101
Palm Beach Gardens, FL 33410

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1235279019 (561) 627-8185

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 4

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.

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

130 services128 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.

125 services124 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

50 services50 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.

17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33411 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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 3

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

BANYAN INSTITUTE, INC

Counselor (Mental Health)

11388 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 798-2310

EWING OPTICAL INC.

Technician/Technologist (Optician)

11388 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 798-0244

LISA COOK NIEBLING PHD, M.ED.

Counselor (Mental Health)

11388 OKEECHOBEE BLVD
ROYAL PALM BEACH, FL 33411

Palm Beach County (561) 798-2310

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 Plumb's NPI number?

The NPI number for Mark Plumb is 1952474140. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Mark Plumb located?

Mark Plumb practices at 11388 Okeechobee Blvd, Royal Palm Beach, FL 33411. The listed phone number is (561) 795-8833.

What is Mark Plumb's specialty?

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

Is Mark Plumb enrolled in Medicare?

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

Which organizations bill Medicare for Mark Plumb's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Plumb reassigns Medicare benefits to 2 organizations: Mark A Plumb Od PA (Wellington, FL) and Jeffrey D. Hixenbaugh, O.D., P.A. (Palm Beach Gardens, FL). Each 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 Plumb's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Plumb accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Mark Plumb 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 Plumb was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.