Active NPI 1306125166 Individual Practitioner Male Practitioner

Dr. Mark A Havera , OD

Optometrist • Edwardsville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mark Havera, OD is a certified Optometrist practicing in Edwardsville, IL. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Havera delivers high-quality medical care to the local community at 6663 EDWARDSVILLE CROSSING DR.

Dr. Havera is affiliated with Havera Eye Care Specialists Llc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6663 Edwardsville Crossing Dr
Ste B

Edwardsville, IL 620252704

Telephone 6186592320

Fax 6186550375

Associated Practice Facility / Clinic

🏢 Clarkson Optometry Illinois Pc Facility NPI 1669668836

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Edwardsville, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -1.5 yrs vs City Avg

City Avg: 16.5 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Edwardsville, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

8.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Havera (15 Years) 15 Yrs

Edwardsville Specialty Average (16.5 Years) 16.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	220	199	$91.00	$84.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$131.33	$118.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$114.00	$104.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,263	12	$1.99	$1.35
99213 Established patient office or other outpatient visit, typically 15 minutes	143	134	$90.69	$84.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	47	$130.00	$119.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$114.00	$106.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,792	21	$2.18	$1.17
99213 Established patient office or other outpatient visit, typically 15 minutes	175	152	$88.21	$83.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$110.63	$106.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	38	$125.51	$118.65
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$166.44	$158.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,260	12	$1.68	$1.15
99213 Established patient office or other outpatient visit, typically 15 minutes	92	83	$76.46	$75.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$106.31	$105.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	34	$107.14	$106.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$164.23	$160.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,533	12	$1.70	$1.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	52	$118.17	$103.41
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$75.00	$72.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$175.63	$159.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$116.77	$104.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	1,893	16	$2.61	$1.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$124.47	$103.22
99213 Established patient office or other outpatient visit, typically 15 minutes	28	28	$76.04	$71.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$119.51	$105.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$188.53	$159.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$119.75	$102.24
99213 Established patient office or other outpatient visit, typically 15 minutes	25	20	$76.23	$69.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$198.70	$158.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	51	51	$156.03	$114.79
92004 New patient complete exam of visual system	23	23	$197.05	$138.92

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046010454

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.

Hospital & Practice Group Affiliations

Havera Eye Care Specialists Llc

119 N Morrison Ave, Collinsville, IL 622343226

Phone: 6183440511

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active October 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 02, 2014

Registered at 6663 EDWARDSVILLE CROSSING DR, STE B, EDWARDSVILLE, IL 620252704 (Tel: 6186592320)

📍

Updated Business Mailing Address October 02, 2014

Registered at 40 E NORTH ST, EUREKA, MO 630251205 (Tel: 6362004393)

👤

Provider Name / Credentials Updated October 02, 2014

Recorded as MARK HAVERA, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2014

Optometrist (License #046010454 in IL)

🟢

Initial NPI Registration & Enumeration August 11, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306125166

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 11, 2011

Last Update: October 02, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

40 E North St

Eureka, MO 630251205

Phone: 6362004393

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.