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Active NPI 1376512137 Individual Practitioner Male Practitioner

Dr. Mark D. Wade , OD

Optometrist • Saint Louis, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Wade, OD is a certified Optometrist practicing in Saint Louis, MO. With approximately 35 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 1991, Dr. Wade delivers high-quality medical care to the local community at 12601 OLIVE BLVD.

Dr. Wade is affiliated with Nucrown, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, new patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12601 Olive Blvd

Saint Louis, MO 631416313

Telephone 3143364690
Fax 8004326004
Associated Practice Facility / Clinic
🏢 Allan E. Kolker, M.d. Llc. Facility NPI 1689755209

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
35 Yrs +17.1 yrs vs City Avg
City Avg: 17.9 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
213 Specialists

Practicing in Saint Louis, MO (1288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wade (35 Years) 35 Yrs
Saint Louis Specialty Average (17.9 Years) 17.9 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
92014 Established patient complete exam of visual system
14 14 $165.00 $119.84

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO T02999

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License IL 046-008455

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
046008455 (IL)
Medicaid State Provider ID
313117913 (MO)
Medicaid State Provider ID
313117905 (MO)
Commercial Insurance / Payer ID United Healthcare
22-01100
Commercial Insurance / Payer ID Helathlink
237550
Commercial Insurance / Payer ID Group Health Plan
222865
Commercial Insurance / Payer ID Eyemed
116865
Commercial Insurance / Payer ID Opticare Medicare Complet
12139
Commercial Insurance / Payer ID Rr Medicare
410048083 (IL)
Commercial Insurance / Payer ID Missouri Medicaid
4210 (MO)

Hospital & Practice Group Affiliations

Nucrown, Llc

4145 Lindell Blvd, Saint Louis, MO 631082913

Phone: 3145331898

Nucrown, Llc

10465 Saint Charles Rock Rd, Saint Ann, MO 630741829

Phone: 3144232010

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1003885278

Doctor of Optometry

NPI 1366411969

Doctor of Optometry

NPI 1386613289

Doctor of Optometry

NPI 1417924648

Doctor of Optometry

NPI 1487621678

Doctor of Optometry

NPI 1669441630

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 19, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 19, 2012

Registered at 12601 OLIVE BLVD, SAINT LOUIS, MO 631416313 (Tel: 3143364690)

📍
Updated Business Mailing Address December 19, 2012

Registered at 211 E BROADWAY, ALTON, IL 620026220 (Tel: 3143364690)

👤
Provider Name / Credentials Updated December 19, 2012

Recorded as MARK WADE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 19, 2012

Optometrist (License #T02999 in MO)

🟢
Initial NPI Registration & Enumeration March 15, 2006

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: 1376512137
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2006
Last Update: December 19, 2012
Sole Proprietor: No

Mailing Address

211 E Broadway

Alton, IL 620026220

Phone: 3143364690

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.