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Deactivated NPI 1487784203 Deactivated / Inactive NPI Male Practitioner

Dr. Mark M Mastervich , OD

Optometrist • Harrisburg, PA

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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. Mark Mastervich has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 07, 2007
NPI Deactivation Date October 26, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Mastervich, OD was a registered Optometrist practicing in Harrisburg, PA. Throughout an active medical career spanning 15 years, Dr. Mastervich provided care at the practice location at 3501 PAXTON ST UNIT H2 until profile deactivation on 2022-10-26.

Historical Medicare Part B clinical services included established patient problem focused exam of visual system, photography of the retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3501 Paxton St Unit H2

Harrisburg, PA 171111483

Telephone 7175616000
Fax 7175611090
Associated Practice Facility / Clinic
🏢 L&h Eyecare Inc. Facility NPI 1336107259

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Harrisburg, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.8 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Harrisburg, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
2.0% 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 (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92012 Established patient problem focused exam of visual system
13 13 $80.00 $78.38

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000513

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1730184508

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated October 26, 2022

Record deactivated on October 26, 2022

NPI Profile Active February 15, 2012

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2012

Registered at 3501 PAXTON ST UNIT H2, HARRISBURG, PA 171111483 (Tel: 7175616000)

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Updated Business Mailing Address February 15, 2012

Registered at 3501 PAXTON ST UNIT H2, HARRISBURG, PA 171111483 (Tel: 7175616000)

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Provider Name / Credentials Updated February 15, 2012

Recorded as MARK MASTERVICH, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2012

Optometrist (License #OEG000513 in PA)

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Initial NPI Registration & Enumeration March 07, 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: 1487784203
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 07, 2007
Last Update: February 15, 2012
Deactivation Date: October 26, 2022

Mailing Address

3501 Paxton St Unit H2

Harrisburg, PA 171111483

Phone: 7175616000

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.