Active NPI 1972587251 Individual Practitioner Male Practitioner

Dr. Mark A Henry , MD

Ophthalmology • Somerset, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Henry, MD is a certified Ophthalmology practicing in Somerset, KY. With approximately 40 years of clinical experience since graduating from University Of Kentucky College Of Medicine in 1986, Dr. Henry delivers high-quality medical care to the local community at 120 TRADEPARK DR.

Dr. Henry is affiliated with Southern Kentucky Eye Center, Psc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

120 Tradepark Dr
Ste A

Somerset, KY 425033454

Telephone 6066797778

Fax 6064511814

Associated Practice Facility / Clinic

🏢 Dermatology Center Of Lake Cumberland, Psc Facility NPI 1477639243

Medicare Profile & Education

Medical School

University Of Kentucky College Of Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Somerset, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs Matches City Avg

City Avg: 40.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

1 Specialists

Practicing in Somerset, KY (265 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Henry (40 Years) 40 Yrs

Somerset Specialty Average (40.0 Years) 40.0 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
66984 Removal of cataract with insertion of lens	467	305	$1403.20	$442.24
99213 Established patient office or other outpatient visit, typically 15 minutes	466	373	$110.00	$88.37
92136 Measurement of corneal curvature and depth of eye	394	309	$156.00	$40.45
92250 Photography of the retina	380	364	$100.00	$34.63
92134 Imaging of retina	355	305	$84.00	$37.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	278	278	$200.00	$162.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	253	$150.00	$124.32
66821 Removal of recurring cataract in lens capsule using a laser	81	62	$625.00	$321.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	39	$60.00	$55.04
92083 Exam of visual field with extended testing	33	27	$209.00	$56.43
92133 Imaging of optic nerve	30	30	$84.00	$33.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$150.00	$108.22
66982 Complex removal of cataract with insertion of prosthetic lens	16	14	$2723.75	$621.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	620	284	$984.13	$287.30
92136 Measurement of corneal curvature and depth of eye	403	314	$156.00	$38.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	397	354	$150.00	$118.29
99213 Established patient office or other outpatient visit, typically 15 minutes	253	230	$110.00	$83.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	247	247	$200.00	$155.26
92134 Imaging of retina	242	229	$84.00	$36.09
92133 Imaging of optic nerve	116	105	$84.00	$33.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	66	$60.00	$52.04
66821 Removal of recurring cataract in lens capsule using a laser	85	70	$625.00	$311.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$150.00	$104.22
92083 Exam of visual field with extended testing	28	27	$209.00	$54.40
92014 Established patient complete exam of visual system	22	21	$175.00	$113.38
92250 Photography of the retina	20	19	$100.00	$33.94
66982 Complex removal of cataract with insertion of prosthetic lens	16	11	$2022.75	$442.74

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	459	397	$150.00	$119.59
66984 Removal of cataract with insertion of lens	452	293	$1406.00	$416.53
92136 Measurement of corneal curvature and depth of eye	399	312	$156.00	$41.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	274	274	$200.00	$156.18
92134 Imaging of retina	172	165	$84.00	$36.61
99213 Established patient office or other outpatient visit, typically 15 minutes	154	143	$110.00	$84.85
92133 Imaging of optic nerve	140	125	$84.00	$33.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	98	$60.00	$52.33
66821 Removal of recurring cataract in lens capsule using a laser	97	75	$625.00	$337.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$150.00	$104.82
92014 Established patient complete exam of visual system	42	41	$175.00	$116.71
92083 Exam of visual field with extended testing	34	31	$209.00	$54.46
92250 Photography of the retina	28	28	$100.00	$33.68
65820 Incision to improve eye fluid flow	15	11	$2000.00	$758.76
66982 Complex removal of cataract with insertion of prosthetic lens	11	11	$2672.00	$586.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	572	370	$1406.00	$434.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	458	401	$150.00	$123.15
92136 Measurement of corneal curvature and depth of eye	344	317	$147.97	$47.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	340	340	$200.00	$159.82
92134 Imaging of retina	263	247	$83.97	$37.48
92014 Established patient complete exam of visual system	197	193	$175.00	$118.86
92133 Imaging of optic nerve	169	151	$84.00	$34.83
99213 Established patient office or other outpatient visit, typically 15 minutes	130	122	$110.00	$87.17
66821 Removal of recurring cataract in lens capsule using a laser	88	73	$625.00	$310.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	68	$60.00	$53.08
76519 Ultrasound of eye for determination of lens power	64	53	$203.48	$53.35
92250 Photography of the retina	40	40	$100.00	$36.75
92083 Exam of visual field with extended testing	30	30	$209.00	$58.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$150.00	$107.30
92004 New patient complete exam of visual system	16	16	$200.00	$141.77
92012 Established patient problem focused exam of visual system	14	14	$110.00	$84.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	539	500	$175.00	$118.88
66984 Removal of cataract with insertion of lens	520	336	$1406.00	$442.24
92136 Measurement of corneal curvature and depth of eye	428	296	$136.61	$47.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	276	276	$200.00	$158.11
92134 Imaging of retina	264	253	$84.00	$38.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	199	$150.00	$104.06
92133 Imaging of optic nerve	197	178	$84.00	$35.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	173	117	$60.00	$42.80
66821 Removal of recurring cataract in lens capsule using a laser	84	64	$625.00	$308.23
92004 New patient complete exam of visual system	83	83	$200.00	$141.19
92250 Photography of the retina	70	70	$100.00	$41.55
99213 Established patient office or other outpatient visit, typically 15 minutes	60	54	$110.00	$71.41
76519 Ultrasound of eye for determination of lens power	53	48	$202.79	$53.22
92083 Exam of visual field with extended testing	43	42	$209.00	$58.85
92012 Established patient problem focused exam of visual system	14	14	$110.00	$83.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	805	739	$312.12	$118.85
66984 Removal of cataract with insertion of lens	691	455	$1827.37	$516.57
92136 Measurement of corneal curvature and depth of eye	546	380	$172.58	$51.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	332	206	$114.65	$42.07
92134 Imaging of retina	320	305	$112.82	$38.63
92133 Imaging of optic nerve	292	253	$107.15	$34.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	288	288	$411.46	$155.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	225	$283.91	$102.92
92004 New patient complete exam of visual system	198	198	$369.70	$142.03
66821 Removal of recurring cataract in lens capsule using a laser	134	101	$896.84	$309.75
92250 Photography of the retina	90	90	$146.28	$46.46
76519 Ultrasound of eye for determination of lens power	83	67	$208.47	$54.04
92083 Exam of visual field with extended testing	55	53	$209.00	$59.44
92012 Established patient problem focused exam of visual system	22	17	$223.27	$82.76
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$189.20	$70.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$315.86	$102.43
66984 Removal of cataract with insertion of lens	13	13	$1406.00	$535.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	793	725	$349.72	$116.59
66984 Removal of cataract with insertion of lens	711	470	$1890.72	$509.87
92136 Measurement of corneal curvature and depth of eye	596	403	$175.63	$52.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	332	332	$443.10	$153.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	267	176	$121.66	$40.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	257	$304.80	$100.41
92134 Imaging of retina	227	221	$116.69	$37.48
92133 Imaging of optic nerve	216	189	$108.81	$34.41
92004 New patient complete exam of visual system	175	175	$421.77	$140.55
66821 Removal of recurring cataract in lens capsule using a laser	138	109	$905.88	$303.27
92250 Photography of the retina	106	105	$153.73	$51.96
76519 Ultrasound of eye for determination of lens power	83	67	$163.51	$57.10
92083 Exam of visual field with extended testing	71	69	$183.24	$57.99
92012 Established patient problem focused exam of visual system	20	17	$190.10	$81.32
99213 Established patient office or other outpatient visit, typically 15 minutes	19	18	$214.21	$68.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	763	710	$175.00	$109.96
66984 Removal of cataract with insertion of lens	718	477	$1406.00	$490.68
92136 Measurement of corneal curvature and depth of eye	571	390	$156.00	$55.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	299	297	$200.00	$148.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	255	$150.00	$96.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	243	167	$60.00	$38.64
92004 New patient complete exam of visual system	240	240	$200.00	$132.60
92134 Imaging of retina	197	194	$84.00	$36.37
92133 Imaging of optic nerve	197	177	$84.00	$33.42
76519 Ultrasound of eye for determination of lens power	146	104	$100.00	$57.63
66821 Removal of recurring cataract in lens capsule using a laser	124	103	$625.00	$286.66
92250 Photography of the retina	68	68	$100.00	$57.44
92083 Exam of visual field with extended testing	64	59	$150.00	$55.05
99213 Established patient office or other outpatient visit, typically 15 minutes	40	37	$110.00	$64.39
92012 Established patient problem focused exam of visual system	28	23	$110.00	$75.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$150.00	$97.37

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License KY 27260

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4020794 (TN)

Medicaid State Provider ID

64272602 (KY)

Commercial Insurance / Payer ID Bcbs

000000071743

Commercial Insurance / Payer ID Umwa

1520956

Commercial Insurance / Payer ID Railroad Medicare

180028760

Commercial Insurance / Payer ID Blue Cross

3061400 (TN)

Hospital & Practice Group Affiliations

Southern Kentucky Eye Center, Psc

120 Tradepark Dr, Somerset, KY 425033454

Phone: 6066797778797778

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Christopher Frost , MD

Dermatology

NPI 1063564011

Doctor of Medicine (M.D.)

Kimberly Meyer , MSNARNP

Nurse Practitioner - Family

NPI 1235315755

Dr. Teresa Bentley , MD

Dermatology

NPI 1922150994

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 04, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location April 04, 2013

Registered at 120 TRADEPARK DR, STE A, SOMERSET, KY 425033454 (Tel: 6066797778)

📍

Updated Business Mailing Address April 04, 2013

Registered at 120 TRADEPARK DR, STE A, SOMERSET, KY 425033454 (Tel: 6066797778)

👤

Provider Name / Credentials Updated April 04, 2013

Recorded as MARK HENRY, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2013

Ophthalmology (License #27260 in KY)

🟢

Initial NPI Registration & Enumeration December 01, 2005

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: 1972587251

Entity Type:

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

Enumeration Date: December 01, 2005

Last Update: April 04, 2013

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

120 Tradepark Dr, Ste A

Somerset, KY 425033454

Phone: 6066797778

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.