MARK RICHARD ORTIZ (OD) – Optometrist, NPI 1487183927

MARK RICHARD ORTIZ (OD) is a healthcare provider. based in Birmingham, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. T-231-TA-A73 (AL). The NPI Number for MARK RICHARD ORTIZ (OD) is 1487183927

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MARK RICHARD ORTIZ (OD)
NPI
1487183927
Phone
(205) 975-2020
Address
1716 UNIVERSITY BLVD G080A
Enumeration Date
8 June 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7708341008
Graduation Year
2017 (9 years ago)
PAC ID
5890065759
Group Practice PAC ID
4880962091
Professional Enrollment ID
I20181019001584
Address ID
GA301174414CA158XXAVEX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for MARK RICHARD ORTIZ (OD)

  • 1716 UNIVERSITY BLVD G080A

    BIRMINGHAM, AL 352940010

    Phone: (205) 975-2020

    Fax: (205) 934-6755

    Type: Mailing

  • 1716 UNIVERSITY BLVD # G080A

    BIRMINGHAM, AL 352331816

    Phone: (205) 975-2020

    Fax: (205) 934-6755

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $657.

Total Amount is formed as General ($657) + Research ($0) + Ownership ($0) = $657.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($195).

Total Amount

$657

General + Research + Ownership

Payments

12

Total payment records

General Amount

$657

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170725004237IOptometryALTBD
I20181019001584IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system572532$0
92250Photography of the retina190186$0
99213Established patient office or other outpatient visit, 20-29 minutes163119$0
92134Imaging of retina116112$0
99214Established patient office or other outpatient visit, 30-39 minutes115107$0
View full utilization report →

Insurance plans in this area (ZIP 35294)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880962091View full group profile
NameSpecialtyState
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P T O M E T R YPA
O P H T H A L M O L O G YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What unique ID ties claims to MARK RICHARD ORTIZ (OD)?
NPI 1487183927 is assigned to MARK RICHARD ORTIZ (OD) under the national enumeration system.
Is MARK RICHARD ORTIZ (OD) currently active in the NPI registry?
CMS-published data lists MARK RICHARD ORTIZ (OD) as an active registrant.
What field does MARK RICHARD ORTIZ (OD) work in?
You can think of MARK RICHARD ORTIZ (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does MARK RICHARD ORTIZ (OD) practice in Alabama?
You will see Birmingham, Alabama on file for MARK RICHARD ORTIZ (OD) alongside any extra practice locations.
What if Birmingham, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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