Active NPI 1609880889 Individual Practitioner Male Practitioner

Dr. Mark G. Birkmann , OD

Optometrist • Georgetown, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Birkmann, OD is a certified Optometrist practicing in Georgetown, TX. With approximately 34 years of clinical experience since graduating from University Of Missouri St Louis - School Of Optometry in 1992, Dr. Birkmann delivers high-quality medical care to the local community at 1013 W UNIVERSITY AVE STE 135.

Dr. Birkmann accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

1013 W University Ave Ste 135

Georgetown, TX 786285359

Telephone 5128698821

Fax 5128698849

Associated Practice Facility / Clinic

🏢 Birkmann Optical Llc Facility NPI 1962921825

Medicare Profile & Education

Medical School

University Of Missouri St Louis - School Of Optometry

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Georgetown, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +13.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 19.5 Yrs

Regional Practice Density

22 Specialists

Practicing in Georgetown, TX (5156 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

26.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Birkmann (34 Years) 34 Yrs

Georgetown Specialty Average (20.5 Years) 20.5 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
92014 Established patient complete exam of visual system	143	142	$130.35	$119.15
99213 Established patient office or other outpatient visit, typically 15 minutes	142	101	$100.00	$86.83
92250 Photography of the retina	81	64	$89.86	$32.89
92083 Exam of visual field with extended testing	60	51	$85.00	$59.66
92020 Examination of cornea and iris using lens device and slit lamp	57	48	$40.00	$26.04
92004 New patient complete exam of visual system	38	38	$154.23	$141.08
92134 Imaging of retina	31	29	$70.00	$37.89
76514 Ultrasound scan of cornea to determine thickness	28	26	$25.00	$10.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	27	$148.15	$121.59
66984 Removal of cataract with insertion of lens	19	12	$160.00	$102.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	126	125	$130.20	$121.18
99213 Established patient office or other outpatient visit, typically 15 minutes	116	80	$100.09	$86.43
92250 Photography of the retina	82	71	$90.00	$33.38
92020 Examination of cornea and iris using lens device and slit lamp	61	52	$40.00	$26.61
92083 Exam of visual field with extended testing	61	52	$85.00	$59.83
92004 New patient complete exam of visual system	55	55	$154.88	$143.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	50	$150.00	$122.70
92134 Imaging of retina	42	34	$69.76	$38.63
76514 Ultrasound scan of cornea to determine thickness	19	19	$25.00	$10.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	142	141	$114.01	$110.81
99213 Established patient office or other outpatient visit, typically 15 minutes	115	78	$100.00	$87.94
92250 Photography of the retina	83	71	$90.00	$33.68
92083 Exam of visual field with extended testing	68	55	$85.00	$60.75
92004 New patient complete exam of visual system	67	67	$154.88	$145.96
92020 Examination of cornea and iris using lens device and slit lamp	67	55	$40.00	$27.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	36	$150.00	$123.90
92134 Imaging of retina	35	29	$70.00	$39.12
66984 Removal of cataract with insertion of lens	28	19	$160.00	$103.99
76514 Ultrasound scan of cornea to determine thickness	23	23	$25.00	$10.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	140	139	$110.32	$110.10
99213 Established patient office or other outpatient visit, typically 15 minutes	130	85	$100.00	$89.05
92250 Photography of the retina	80	65	$90.00	$35.65
92083 Exam of visual field with extended testing	63	49	$85.00	$61.84
92004 New patient complete exam of visual system	59	59	$154.12	$147.19
92020 Examination of cornea and iris using lens device and slit lamp	58	45	$40.00	$27.44
76514 Ultrasound scan of cornea to determine thickness	28	27	$25.00	$10.59
92134 Imaging of retina	26	24	$70.00	$40.10
92145 Measurement of corneal pressure	20	19	$20.00	$11.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$145.83	$124.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	131	131	$110.69	$110.07
99213 Established patient office or other outpatient visit, typically 15 minutes	73	54	$100.27	$73.05
92250 Photography of the retina	60	50	$90.00	$40.52
92004 New patient complete exam of visual system	49	49	$154.88	$147.44
92083 Exam of visual field with extended testing	47	35	$85.00	$61.44
92020 Examination of cornea and iris using lens device and slit lamp	43	35	$40.00	$27.20
92134 Imaging of retina	37	35	$70.00	$39.77
66984 Removal of cataract with insertion of lens	18	11	$160.00	$105.36
92012 Established patient problem focused exam of visual system	13	13	$90.00	$86.26
76514 Ultrasound scan of cornea to determine thickness	12	12	$25.00	$11.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	127	127	$154.88	$145.91
92014 Established patient complete exam of visual system	117	115	$118.62	$110.95
92250 Photography of the retina	60	45	$90.00	$44.96
92134 Imaging of retina	53	50	$70.00	$39.29
92083 Exam of visual field with extended testing	43	31	$85.00	$61.31
92012 Established patient problem focused exam of visual system	38	30	$90.26	$84.78
99213 Established patient office or other outpatient visit, typically 15 minutes	27	22	$100.74	$71.37
92020 Examination of cornea and iris using lens device and slit lamp	26	25	$40.00	$26.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92004 New patient complete exam of visual system	189	189	$150.98	$141.06
92250 Photography of the retina	48	47	$90.00	$48.82
92083 Exam of visual field with extended testing	47	41	$84.47	$59.62
92012 Established patient problem focused exam of visual system	32	24	$88.75	$80.99
92134 Imaging of retina	27	26	$70.00	$38.71
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$100.00	$68.19
92133 Imaging of optic nerve	13	11	$60.00	$32.69
92014 Established patient complete exam of visual system	13	12	$120.50	$110.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$120.00	$100.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	77	77	$128.00	$110.17
92250 Photography of the retina	41	41	$93.00	$56.78
99213 Established patient office or other outpatient visit, typically 15 minutes	22	19	$83.00	$65.64
66984 Removal of cataract with insertion of lens	15	14	$694.00	$114.42
92004 New patient complete exam of visual system	13	13	$141.00	$133.02

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 9137TG

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.

Secondary Practice Locations

320 Washington Ave

Washington, MO 630903218

Phone: 6362392179

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Mark Sturm , OD

Optometrist

NPI 1861706202

Doctor of Optometry

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location March 17, 2018

Registered at 1013 W UNIVERSITY AVE STE 135, GEORGETOWN, TX 786285359 (Tel: 5128698821)

📍

Updated Business Mailing Address March 17, 2018

Registered at 1013 W UNIVERSITY AVE STE 135, GEORGETOWN, TX 786285359 (Tel: 5128698821)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Optometrist (License #9137TG in TX)

📍

Updated Practice Location February 22, 2018

Registered at 1013 W UNIVERSITY AVE STE 135, GEORGETOWN, TX 786285359 (Tel: 5128698821)

📍

Updated Business Mailing Address February 22, 2018

Registered at 1013 W UNIVERSITY AVE STE 135, GEORGETOWN, TX 786285359 (Tel: 5128698821)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2018

Optometrist (License #9137TG in TX)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 320 WASHINGTON AVE, WASHINGTON, MO 630903218 (Tel: 6362392179)

📍

Updated Business Mailing Address July 08, 2007

Registered at 320 WASHINGTON AVE, WASHINGTON, MO 630903218 (Tel: 6362392179)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MARK BIRKMANN, O.D.

🎓

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

Optometrist (License #TO3058 in MO)

🟢

Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1609880889

Entity Type:

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

Enumeration Date: July 27, 2006

Last Update: March 17, 2018

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1013 W University Ave Ste 135

Georgetown, TX 786285359

Phone: 5128698821

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.