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Deactivated NPI 1093868606 Deactivated / Inactive NPI Male Practitioner

Dr. Kirk Norwood Mahan , OD

Optometrist • Parma, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kirk Mahan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 18, 2007
NPI Deactivation Date February 22, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Kirk Mahan, OD was a registered Optometrist practicing in Parma, OH. Throughout an active medical career spanning 14 years, Dr. Mahan provided care at the practice location at 7969 W RIDGEWOOD DR until profile deactivation on 2021-02-22.

Historical Medicare Part B clinical services included photography of the retina, established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

7969 W Ridgewood Dr

Parma, OH 441295516

Telephone 4408843090
Fax 4408841046
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Parma, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.3 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Parma, OH (2535 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
24.8% 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 (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
43 42 $120.00 $37.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 25 $131.80 $126.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $185.00 $164.49

Medical Specialties & State Licenses

CMS Verified: 2021-03-02
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 3839

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 PA OE007297P

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 TX 03419

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 Former Tax Id
34-1569066 (OH)
Commercial Insurance / Payer ID Tax Id
203287006 (OH)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1013060748

Doctor of Optometry

NPI 1952454662

Doctor of Optometry

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Reactivated March 02, 2021

Record officially reactivated for active practice on March 02, 2021

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2021

Optometrist (License #3839 in OH)

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NPI Profile Deactivated February 22, 2021

Record deactivated on February 22, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 7969 W RIDGEWOOD DR, PARMA, OH 441295516 (Tel: 4408843090)

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Updated Business Mailing Address July 08, 2007

Registered at 1775 E HAYMARKET WAY, HUDSON, OH 442364671 (Tel: 3303429846)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KIRK MAHAN, O.D.

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

Optometrist (License #3839 in OH)

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Initial NPI Registration & Enumeration January 18, 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: 1093868606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 18, 2007
Last Update: March 02, 2021
Deactivation Date: February 22, 2021
Sole Proprietor: No

Mailing Address

1775 E Haymarket Way

Hudson, OH 442364671

Phone: 3303429846

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.