Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669443370 Individual Practitioner Male Practitioner

Dr. Leo W Mack , MD

Ophthalmology • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Leo Mack, MD is a certified Ophthalmology practicing in Tyler, TX. With approximately 57 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1969, Dr. Mack delivers high-quality medical care to the local community at 5791 NEW COPELAND RD.

Dr. Mack accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of recurring cataract in lens capsule using a laser, new patient complete exam of visual system, established patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5791 New Copeland Rd

Tyler, TX 757033905

Telephone 9036307007
Fax 9036307072
Associated Practice Facility / Clinic
🏢 Leo W Mack Jr Md Pa Facility NPI 1366619611

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1969

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Tyler, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
57 Yrs +32.6 yrs vs City Avg
City Avg: 24.4 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Tyler, TX (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (57 Years) 57 Yrs
Tyler Specialty Average (24.4 Years) 24.4 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
66821 Removal of recurring cataract in lens capsule using a laser
28 24 $1050.00 $314.44
92004 New patient complete exam of visual system
12 12 $250.00 $141.12

Medical Specialties & State Licenses

CMS Verified: 2025-12-09
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX E4001

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
135428409 (TX)

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1003887670

Doctor of Optometry

NPI 1174015523

Doctor of Optometry

Paige Simons , PA-C

Physician Assistant

NPI 1851923684

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 09, 2020

Registered at 5791 NEW COPELAND RD, TYLER, TX 757033905 (Tel: 9036307007)

📍
Updated Business Mailing Address November 09, 2020

Registered at 5791 NEW COPELAND RD, TYLER, TX 757033905 (Tel: 9036307007)

NPI Profile Active June 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2016

Registered at 5777 NEW COPELAND RD, SUITE 200, TYLER, TX 757033905 (Tel: 9036307007)

📍
Updated Business Mailing Address June 10, 2016

Registered at 5777 NEW COPELAND RD, SUITE 200, TYLER, TX 757033905 (Tel: 9036307007)

👤
Provider Name / Credentials Updated June 10, 2016

Recorded as LEO MACK, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2016

Ophthalmology (License #E4001 in TX)

🟢
Initial NPI Registration & Enumeration January 30, 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: 1669443370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 30, 2006
Last Update: December 09, 2025
Sole Proprietor: No

Mailing Address

5791 New Copeland Rd

Tyler, TX 757033905

Phone: 9036307007

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.