DR. MARK A HENRY MD
NPI 1972587251
Ophthalmology in Somerset, KY

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
94.54/100
CMS Quality Rating
120 TRADEPARK DR, STE A, SOMERSET, KY 42503(606) 679-7778(606) 451-1814 Get Directions Write a Review

NPPES record last updated: April 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Mark A Henry Md NPPES

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

DR. MARK A HENRY MD (NPI 1972587251) is an individual ophthalmology provider in Somerset, Kentucky, licensed in Kentucky (27260) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Lake Cumberland Regional Hospital, and is a graduate of University Of Kentucky College Of Medicine (1986).

NPPES Registry Identity

NPI1972587251
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK A HENRYCredential: MD
Location Address120 TRADEPARK DR, STE ASomerset, KY 42503-3454
Mailing Address120 Tradepark Dr, Ste ASomerset, KY 42503-3454 · (606) 679-7778 · Fax (606) 451-1814
Fax(606) 451-1814
Sole ProprietorYes
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1986
Enumeration DateDecember 1, 2005
Last NPPES UpdateApril 4, 2013
NPI 1972587251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in KY · 27260
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
120 TRADEPARK DR, Somerset, KY 42503

Other Identifiers 8

Other180028760Railroad Medicare
Medicare ID-Type Unspecified1665601
Medicaid4020794TN
Other000000071743Bcbs
Medicare UPINE67778
Other1520956Umwa
Other3061400TN · Blue Cross
Medicaid64272602KY

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 Henry Md 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 ID7012094584
PECOS Enrollment IDI20100421000535
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 13

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
467 services305 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.
466 services373 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
394 services309 patients
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.
380 services364 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.
355 services305 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
278 services278 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181333
Location723 Burkesville RoadAlbany, KY 42602 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost81.82

Reported Quality Measures

Complications After Cataract Surgery
Lower rates are better for this measure.
0%669 patients
Diabetes: Eye Exam
100%295 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
78%285 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%3,057 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
89%141 patients
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
4%26 patients
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
79%160 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%153 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,662 patients
Patients totalRate: 0% · 1,662 patients
0%1,662 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers19 claims19 services$51.42 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers11 claims15 services$36.41 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers16 claims23 services$36.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
120 TRADEPARK DR, SUITE B
SOMERSET, KY 42503
Dermatology
120 TRADEPARK DR, SUITE B
SOMERSET, KY 42503
Nurse Practitioner (Family)
120 TRADEPARK DR, SUITE B
SOMERSET, KY 42503
Ophthalmology
120 TRADEPARK DR, SUITE A
SOMERSET, KY 42503
Dermatology
120 TRADEPARK DR, SUITE B
SOMERSET, KY 42503
Dermatology
120 TRADEPARK DR, SUITE B
SOMERSET, KY 42503

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 Henry's NPI number?

The NPI number for Mark Henry is 1972587251. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Mark Henry located?

Mark Henry practices at 120 Tradepark Dr Ste A, Somerset, KY 42503. The listed phone number is (606) 679-7778.

What is Mark Henry's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mark Henry enrolled in Medicare?

Yes. Mark Henry 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.

Is Mark Henry affiliated with any hospitals?

According to CMS data, Mark Henry is affiliated with Lake Cumberland Regional Hospital, Wayne County Hospital, Russell County Hospital and The Medical Center At Albany.

When was this NPI record last updated?

The NPPES record for Mark Henry was last updated on April 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.