Active NPI 1487697959 Individual Practitioner Male Practitioner

Dr. Mark C Austin , MD

Ophthalmology • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Austin, MD is a registered healthcare professional specializing in Ophthalmology in Appleton, WI. Practice services are available at 1301 E NORTHLAND AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 E Northland Ave
Ste A

Appleton, WI 549118426

Telephone 9207348714

Fax 9207348785

Associated Practice Facility / Clinic

🏢 Northeast Wisconsin Foot And Ankle Assoc., S.c. Facility NPI 1093716177

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Appleton, WI

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 35.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Appleton, WI (464 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	196	177	$173.00	$85.44
92014 Established patient complete exam of visual system	128	128	$246.00	$119.48
92133 Imaging of optic nerve	124	118	$136.00	$34.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	94	$262.00	$120.63
92134 Imaging of retina	65	60	$136.00	$37.99
92136 Measurement of corneal curvature and depth of eye	42	14	$124.67	$24.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$263.00	$101.19
66821 Removal of recurring cataract in lens capsule using a laser	16	13	$1360.81	$286.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	228	228	$246.00	$120.63
99213 Established patient office or other outpatient visit, typically 15 minutes	187	179	$173.00	$85.36
92133 Imaging of optic nerve	159	147	$136.00	$34.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	124	114	$262.00	$120.76
92134 Imaging of retina	86	82	$136.00	$38.27
92136 Measurement of corneal curvature and depth of eye	63	21	$124.67	$24.61
66821 Removal of recurring cataract in lens capsule using a laser	25	16	$1378.00	$283.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	19	$114.00	$53.32
66984 Removal of cataract with insertion of lens	24	12	$4661.00	$507.11
92083 Exam of visual field with extended testing	22	22	$169.00	$59.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	936	28	$199.19	$20.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	500	476	$264.79	$122.39
99213 Established patient office or other outpatient visit, typically 15 minutes	196	177	$175.81	$86.03
92133 Imaging of optic nerve	165	156	$124.83	$34.82
92134 Imaging of retina	113	106	$125.33	$38.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$402.41	$158.59
92136 Measurement of corneal curvature and depth of eye	50	25	$264.16	$33.21
92083 Exam of visual field with extended testing	36	35	$162.47	$59.89
66821 Removal of recurring cataract in lens capsule using a laser	18	14	$1225.68	$292.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	680	651	$260.25	$124.13
66984 Removal of cataract with insertion of lens	250	43	$1296.06	$148.31
92133 Imaging of optic nerve	224	222	$116.75	$35.42
92134 Imaging of retina	126	122	$116.75	$39.38
99213 Established patient office or other outpatient visit, typically 15 minutes	109	95	$177.00	$87.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$394.50	$160.15
92136 Measurement of corneal curvature and depth of eye	71	42	$405.75	$41.74
92083 Exam of visual field with extended testing	40	40	$154.00	$60.08
66821 Removal of recurring cataract in lens capsule using a laser	27	20	$1084.75	$298.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$108.50	$53.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	937	46	$338.82	$38.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	303	$255.00	$104.97
92014 Established patient complete exam of visual system	290	287	$238.00	$122.70
92133 Imaging of optic nerve	163	161	$114.25	$35.75
99213 Established patient office or other outpatient visit, typically 15 minutes	131	113	$173.50	$72.09
92134 Imaging of retina	91	89	$114.25	$39.54
92136 Measurement of corneal curvature and depth of eye	69	45	$397.75	$45.96
92083 Exam of visual field with extended testing	40	40	$150.75	$61.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$386.75	$154.00
66821 Removal of recurring cataract in lens capsule using a laser	30	22	$1084.75	$301.18
92004 New patient complete exam of visual system	21	21	$285.50	$146.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	646	634	$238.00	$122.37
99213 Established patient office or other outpatient visit, typically 15 minutes	223	185	$173.50	$71.17
66984 Removal of cataract with insertion of lens	219	46	$1458.94	$197.94
92133 Imaging of optic nerve	197	193	$114.25	$35.16
92134 Imaging of retina	102	97	$114.25	$39.59
92083 Exam of visual field with extended testing	78	77	$150.75	$60.57
92136 Measurement of corneal curvature and depth of eye	76	50	$397.75	$53.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	67	$255.00	$104.13
92004 New patient complete exam of visual system	38	38	$285.50	$146.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	21	$106.25	$43.11
66821 Removal of recurring cataract in lens capsule using a laser	25	18	$1084.75	$300.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$255.00	$103.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	634	615	$238.00	$118.54
66984 Removal of cataract with insertion of lens	275	62	$1553.36	$202.73
92133 Imaging of optic nerve	157	156	$114.25	$35.13
99213 Established patient office or other outpatient visit, typically 15 minutes	120	109	$173.50	$67.80
92134 Imaging of retina	107	106	$114.25	$38.99
92136 Measurement of corneal curvature and depth of eye	100	67	$306.85	$57.55
92004 New patient complete exam of visual system	56	56	$285.50	$142.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	39	$106.25	$40.69
92083 Exam of visual field with extended testing	32	32	$150.75	$60.23
66821 Removal of recurring cataract in lens capsule using a laser	26	20	$1084.75	$288.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	707	53	$501.05	$64.49
92014 Established patient complete exam of visual system	651	630	$233.25	$113.53
92133 Imaging of optic nerve	134	134	$112.00	$34.07
92134 Imaging of retina	129	124	$112.00	$37.51
99213 Established patient office or other outpatient visit, typically 15 minutes	94	85	$170.00	$66.21
92136 Measurement of corneal curvature and depth of eye	81	52	$288.93	$60.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	69	64	$104.00	$39.62
92004 New patient complete exam of visual system	45	45	$279.75	$136.73
66821 Removal of recurring cataract in lens capsule using a laser	32	27	$1063.29	$283.60
92083 Exam of visual field with extended testing	24	23	$147.75	$58.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$250.00	$91.91

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 33602

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

32890500 (WI)

Commercial Insurance / Payer ID Railroad Medicare

180030240 (WI)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Paul Thompson , OD

Optometrist

NPI 1023105772

Doctor of Optometry

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 02, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location December 02, 2009

Registered at 1301 E NORTHLAND AVE, STE A, APPLETON, WI 549118426 (Tel: 9207348714)

📍

Updated Business Mailing Address December 02, 2009

Registered at 1301 E NORTHLAND AVE, STE A, APPLETON, WI 549118426 (Tel: 9207348714)

👤

Provider Name / Credentials Updated December 02, 2009

Recorded as MARK AUSTIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2009

Ophthalmology (License #33602 in WI)

🟢

Initial NPI Registration & Enumeration June 13, 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: 1487697959

Entity Type:

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

Enumeration Date: June 13, 2006

Last Update: December 02, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1301 E Northland Ave, Ste A

Appleton, WI 549118426

Phone: 9207348714

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.