Active NPI 1083694863 Individual Practitioner Male Practitioner

Dr. Mark E. Stepp , OD

Optometrist • Windber, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Stepp, OD is a certified Optometrist practicing in Windber, PA. With approximately 33 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1993, Dr. Stepp delivers high-quality medical care to the local community at 810 VINCENT DR.

Dr. Stepp maintains professional affiliations with Johnstown Family Vision And Hearing Inc, Vittone Eye Surgical Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, microfluid analysis of tears, 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

810 Vincent Dr

Windber, PA 159631573

Telephone 8144679062

Fax 8142665368

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Windber, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs Matches City Avg

City Avg: 33.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Windber, PA (2764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

18.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stepp (33 Years) 33 Yrs

Windber Specialty Average (33.0 Years) 33.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	262	175	$74.66	$73.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	135	$129.43	$121.25
83861 Microfluid analysis of tears	190	85	$25.00	$22.03
92250 Photography of the retina	168	159	$74.29	$34.37
92134 Imaging of retina	131	115	$50.49	$37.64
92083 Exam of visual field with extended testing	66	62	$87.12	$58.87
92014 Established patient complete exam of visual system	64	59	$81.56	$79.00
92133 Imaging of optic nerve	64	62	$47.38	$32.70
92499 Service or surgery of the eye	41	39	$58.54	$35.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	17	$45.65	$44.67
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$75.00	$68.13
92012 Established patient problem focused exam of visual system	15	15	$95.33	$83.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	280	204	$74.79	$73.22
83861 Microfluid analysis of tears	202	83	$25.00	$22.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	105	$129.35	$121.62
92250 Photography of the retina	142	140	$74.44	$35.21
92134 Imaging of retina	125	113	$49.82	$38.33
92083 Exam of visual field with extended testing	61	57	$87.13	$59.09
92133 Imaging of optic nerve	59	57	$48.03	$33.32
92499 Service or surgery of the eye	33	32	$70.00	$33.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	23	$45.31	$44.66
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$75.21	$69.09
92014 Established patient complete exam of visual system	24	24	$90.83	$88.23
66984 Removal of cataract with insertion of lens	19	13	$160.00	$102.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$165.91	$159.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	285	185	$73.16	$71.69
92250 Photography of the retina	166	152	$73.73	$35.61
83861 Microfluid analysis of tears	120	56	$25.00	$22.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	92	$130.00	$124.32
92134 Imaging of retina	96	85	$49.57	$39.08
92083 Exam of visual field with extended testing	53	50	$87.55	$60.24
92133 Imaging of optic nerve	48	44	$48.29	$34.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	20	$46.41	$45.41
92014 Established patient complete exam of visual system	28	28	$123.93	$119.19
92499 Service or surgery of the eye	26	25	$70.00	$38.71
92012 Established patient problem focused exam of visual system	21	19	$90.00	$87.01
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$75.75	$70.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	265	177	$71.23	$70.95
83861 Microfluid analysis of tears	256	126	$25.00	$22.48
92250 Photography of the retina	158	154	$76.74	$37.77
92012 Established patient problem focused exam of visual system	106	98	$90.28	$86.86
92014 Established patient complete exam of visual system	97	97	$130.21	$123.51
92134 Imaging of retina	89	83	$54.97	$39.81
92083 Exam of visual field with extended testing	68	68	$90.00	$61.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	33	$45.27	$45.18
92133 Imaging of optic nerve	50	49	$54.36	$34.67
92499 Service or surgery of the eye	25	25	$70.00	$39.82
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$75.45	$71.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$170.00	$164.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	371	180	$24.76	$22.02
99213 Established patient office or other outpatient visit, typically 15 minutes	216	145	$70.25	$69.86
92012 Established patient problem focused exam of visual system	210	183	$95.00	$85.80
92250 Photography of the retina	192	188	$77.03	$43.13
92134 Imaging of retina	80	75	$56.92	$39.59
92014 Established patient complete exam of visual system	76	75	$135.00	$122.82
92083 Exam of visual field with extended testing	75	74	$90.00	$61.06
92133 Imaging of optic nerve	51	51	$57.55	$34.62
92499 Service or surgery of the eye	41	41	$80.00	$39.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	19	$45.00	$44.24
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$75.00	$74.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$170.00	$161.78
76514 Ultrasound scan of cornea to determine thickness	15	15	$18.33	$11.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,012	368	$25.00	$21.94
92012 Established patient problem focused exam of visual system	514	351	$94.93	$84.44
92250 Photography of the retina	351	343	$79.79	$47.51
99213 Established patient office or other outpatient visit, typically 15 minutes	246	163	$70.37	$69.13
92014 Established patient complete exam of visual system	245	210	$137.20	$121.52
92134 Imaging of retina	188	183	$60.15	$39.30
92083 Exam of visual field with extended testing	123	122	$89.84	$61.35
92499 Service or surgery of the eye	114	112	$79.82	$39.44
92133 Imaging of optic nerve	85	84	$60.24	$34.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	27	$45.00	$43.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$170.00	$160.29
92002 New patient problem focused exam of visual system	19	19	$85.00	$80.96
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$75.00	$73.86
76514 Ultrasound scan of cornea to determine thickness	12	12	$18.33	$11.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,041	378	$24.99	$22.00
92012 Established patient problem focused exam of visual system	518	364	$90.05	$84.13
92250 Photography of the retina	355	351	$67.51	$53.02
92014 Established patient complete exam of visual system	244	208	$124.98	$122.01
99213 Established patient office or other outpatient visit, typically 15 minutes	223	154	$70.16	$68.64
92134 Imaging of retina	181	179	$45.44	$39.88
92083 Exam of visual field with extended testing	140	138	$72.75	$61.53
92133 Imaging of optic nerve	80	77	$44.54	$35.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	47	$45.35	$42.18
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$75.71	$72.46
66984 Removal of cataract with insertion of lens	24	15	$108.25	$72.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$165.23	$153.62
92002 New patient problem focused exam of visual system	15	15	$84.67	$80.44
76514 Ultrasound scan of cornea to determine thickness	13	13	$17.69	$13.93
92004 New patient complete exam of visual system	11	11	$150.00	$146.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$100.00	$98.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	1,028	387	$25.00	$22.17
92012 Established patient problem focused exam of visual system	632	418	$85.27	$79.21
92250 Photography of the retina	268	263	$69.76	$60.31
92134 Imaging of retina	162	160	$45.15	$38.00
92014 Established patient complete exam of visual system	128	114	$125.04	$114.41
99213 Established patient office or other outpatient visit, typically 15 minutes	128	100	$70.35	$67.37
92083 Exam of visual field with extended testing	119	115	$68.78	$56.21
92133 Imaging of optic nerve	74	73	$41.20	$34.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	45	$45.07	$40.02
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$75.00	$69.35
92002 New patient problem focused exam of visual system	24	24	$80.00	$75.38
76514 Ultrasound scan of cornea to determine thickness	19	19	$17.63	$13.26
92004 New patient complete exam of visual system	16	16	$151.25	$138.72
67820 Removal of eyelashes using forceps	14	12	$64.71	$48.75

Medical Specialties & State Licenses

CMS Verified: 2022-06-13

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG-000068

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

0017285970004 (PA)

Medicaid State Provider ID

0017285970005 (PA)

Medicaid State Provider ID

0017285970006 (PA)

Commercial Insurance / Payer ID Bluecrossblueshield

187938 (PA)

Hospital & Practice Group Affiliations

Vittone Eye Surgical Associates Pc

1010 Ligonier St, Latrobe, PA 156501846

Phone: 7245391671

Johnstown Family Vision And Hearing Inc

1513 Scalp Ave, Johnstown, PA 159043332

Phone: 8142667611

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 20, 2015

Registered at 810 VINCENT DR, WINDBER, PA 159631573 (Tel: 8144679062)

📍

Updated Business Mailing Address March 20, 2015

Registered at 810 VINCENT DR, WINDBER, PA 159631573 (Tel: 8144679062)

👤

Provider Name / Credentials Updated March 20, 2015

Recorded as MARK STEPP, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2015

Optometrist (License #OEG-000068 in PA)

🟢

Initial NPI Registration & Enumeration January 18, 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: 1083694863

Entity Type:

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

Enumeration Date: January 18, 2006

Last Update: June 13, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

810 Vincent Dr

Windber, PA 159631573

Phone: 8144679062

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.