Active NPI 1770611196 Individual Practitioner Male Practitioner

Dr. Mark Vincent Maddox , OD

Optometrist • Macon, MO

Professional Overview & Biography Verified Profile Summary

Dr. Mark Maddox, OD is a registered healthcare professional specializing in Optometrist in Macon, MO. Practice services are available at 1705 PROSPECT DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, imaging of optic nerve, 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

1705 Prospect Dr

Macon, MO 635522602

Telephone 6603855724

Fax 6603853924

Associated Practice Facility / Clinic

🏢 Vision Care Associates, Llc Facility NPI 1013093681

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Macon, MO

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 33.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Macon, MO (1288 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

11.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	176	175	$118.00	$116.19
92133 Imaging of optic nerve	99	99	$46.00	$32.59
92250 Photography of the retina	82	78	$46.00	$33.63
92083 Exam of visual field with extended testing	56	55	$65.00	$56.55
92012 Established patient problem focused exam of visual system	46	39	$82.00	$81.63
92134 Imaging of retina	42	38	$46.00	$37.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	23	$52.94	$52.17
66984 Removal of cataract with insertion of lens	33	19	$144.18	$96.78
92004 New patient complete exam of visual system	32	32	$142.00	$138.24
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$84.68	$84.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	387	367	$118.00	$116.43
92250 Photography of the retina	285	271	$46.00	$35.34
92133 Imaging of optic nerve	140	131	$42.06	$33.17
92083 Exam of visual field with extended testing	110	103	$65.00	$56.87
99213 Established patient office or other outpatient visit, typically 15 minutes	72	61	$70.00	$70.00
92134 Imaging of retina	70	57	$42.00	$36.80
92004 New patient complete exam of visual system	63	63	$142.00	$139.27
92012 Established patient problem focused exam of visual system	63	55	$82.00	$80.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	39	$42.20	$41.55
66984 Removal of cataract with insertion of lens	54	29	$144.65	$95.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$103.00	$103.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	391	382	$118.00	$116.51
92250 Photography of the retina	219	212	$46.00	$40.38
92133 Imaging of optic nerve	180	173	$42.00	$33.60
92083 Exam of visual field with extended testing	104	97	$65.00	$57.58
92012 Established patient problem focused exam of visual system	80	68	$82.00	$81.74
92134 Imaging of retina	70	65	$42.00	$37.30
99213 Established patient office or other outpatient visit, typically 15 minutes	52	46	$70.00	$69.91
92004 New patient complete exam of visual system	47	47	$142.00	$139.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	29	$42.00	$41.83
66984 Removal of cataract with insertion of lens	39	25	$144.48	$99.77
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	12	$30.00	$20.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	495	466	$118.00	$116.37
92250 Photography of the retina	360	351	$60.00	$45.32
92133 Imaging of optic nerve	182	171	$42.00	$33.31
92083 Exam of visual field with extended testing	107	101	$65.00	$58.11
92012 Established patient problem focused exam of visual system	93	82	$82.00	$80.97
66984 Removal of cataract with insertion of lens	80	46	$145.60	$117.04
92004 New patient complete exam of visual system	77	77	$142.00	$140.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	53	$42.00	$41.42
99213 Established patient office or other outpatient visit, typically 15 minutes	70	67	$70.00	$69.07
92134 Imaging of retina	65	56	$42.00	$37.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	40	30	$30.00	$20.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	525	496	$116.00	$114.29
92250 Photography of the retina	421	396	$59.98	$50.49
92133 Imaging of optic nerve	202	188	$41.90	$34.03
92083 Exam of visual field with extended testing	128	117	$64.70	$58.04
92012 Established patient problem focused exam of visual system	106	91	$80.02	$78.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	58	$41.01	$40.36
99213 Established patient office or other outpatient visit, typically 15 minutes	78	68	$69.01	$68.04
92134 Imaging of retina	71	67	$42.00	$37.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	62	30	$30.00	$19.62
66984 Removal of cataract with insertion of lens	61	41	$144.64	$118.31
92004 New patient complete exam of visual system	56	56	$140.00	$138.16
92020 Examination of cornea and iris using lens device and slit lamp	24	24	$26.00	$25.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$101.00	$99.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$101.00	$88.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	487	462	$116.00	$109.46
92250 Photography of the retina	462	441	$69.98	$56.35
92133 Imaging of optic nerve	140	124	$42.00	$32.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	119	67	$41.00	$38.52
92012 Established patient problem focused exam of visual system	118	109	$80.00	$75.08
92083 Exam of visual field with extended testing	118	107	$65.00	$51.58
99213 Established patient office or other outpatient visit, typically 15 minutes	83	79	$69.00	$65.44
66984 Removal of cataract with insertion of lens	78	46	$143.90	$109.29
92004 New patient complete exam of visual system	56	56	$140.00	$132.71
92134 Imaging of retina	50	48	$41.66	$35.82
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	13	$30.00	$17.63
92225 Examination of eye by ophthalmoscope with retinal drawing	18	18	$26.00	$24.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$101.00	$96.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$101.00	$96.73

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO T02344

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

Commercial Insurance / Payer ID Healthlink

195245 (MO)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Craig Rose , OD

Optometrist

NPI 1982732319

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1705 PROSPECT DR, MACON, MO 635522602 (Tel: 6603855724)

📍

Updated Business Mailing Address July 08, 2007

Registered at 808 SUNSET DR, MACON, MO 635521063 (Tel: 6603853555)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK MADDOX, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #T02344 in MO)

🟢

Initial NPI Registration & Enumeration February 28, 2007

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: 1770611196

Entity Type:

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

Enumeration Date: February 28, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

808 Sunset Dr

Macon, MO 635521063

Phone: 6603853555

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.