DR. MARK S LUEDKE (OD) – Optometrist, NPI 1316915481

DR. MARK S LUEDKE (OD) is a healthcare provider. based in Riverview, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC2762 (FL). The NPI Number for DR. MARK S LUEDKE (OD) is 1316915481

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK S LUEDKE (OD)
NPI
1316915481
Phone
(813) 671-2020
Address
9433 BALM RIVERVIEW RD
Enumeration Date
14 March 2006
Last Update Date
27 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8136712020
Graduation Year
1994 (32 years ago)
PAC ID
6901814169
Group Practice PAC ID
8022473198
Professional Enrollment ID
I20060329000485
Address ID
FL335695120RI9433XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

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Provider Addresses for DR. MARK S LUEDKE (OD)

  • Balm Riverview Road, Riverview, Hillsborough County, Florida, 33569, United States

    STUITE 102

    RIVERVIEW, FL 335695120

    Phone: (813) 671-2020

    Fax: (813) 677-5549

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,058.

Total Amount is formed as General ($1,058) + Research ($0) + Ownership ($0) = $1,058.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: CooperVision Inc. ($385).

Total Amount

$1,058

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,058

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2006-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20060329000485IOptometryFLTBD

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 system9393$0
92250Photography of the retina9392$0
99212Established patient office or other outpatient visit, 10-19 minutes4839$0
92133Imaging of optic nerve3130$0
92004New patient complete exam of visual system1818$0
View full utilization report →

Insurance plans in this area (ZIP 33569)

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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: 8022473198View full group profile
NameSpecialtyState
O P T O M E T R YME

Reviews

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Frequently asked questions

What is the standard ID for DR. MARK S LUEDKE (OD) in the U.S.?
In the U.S., DR. MARK S LUEDKE (OD) is identified by NPI 1316915481.
Is DR. MARK S LUEDKE (OD) currently accepting referrals based on NPI status?
Registry metadata lists DR. MARK S LUEDKE (OD) as active.
What services align with DR. MARK S LUEDKE (OD)'s listing?
DR. MARK S LUEDKE (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MARK S LUEDKE (OD) tied to Riverview, Florida?
If you are local to Riverview, Florida, DR. MARK S LUEDKE (OD) may be relevant to your search.
Can I export DR. MARK S LUEDKE (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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