JESSICA MARK (O.D.) – Optometrist, NPI 1699223974
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,055 OPTOMETRY in FL
Provider Addresses for JESSICA MARK (O.D.)
4211 US HIGHWAY 27 N
SEBRING, FL 338701917
Phone: (863) 658-3003
Fax: (863) 385-1233
Type: Location
North Dale Mabry Highway, Tampa, Hillsborough County, Florida, 33607, United States
TAMPA, FL 336182446
Phone: (813) 908-2020
Fax: (813) 908-2133
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $265.
Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.
Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Apellis Pharmaceuticals, Inc. ($109).
Total Amount
$265
General + Research + Ownership
Payments
8
Total payment records
General Amount
$265
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Apellis Pharmaceuticals, Inc. | $109 |
| Alcon Vision LLC | $98 |
| Regeneron Healthcare Solutions, Inc. | $58 |
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: 2016-10-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161027002081 | I | Optometry | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,090 | 816 | $0 |
| 92134 | Imaging of retina | 580 | 552 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 551 | 492 | $0 |
| 92250 | Photography of the retina | 273 | 266 | $0 |
| 92133 | Imaging of optic nerve | 199 | 195 | $0 |
Insurance plans in this area (ZIP 33870)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | AL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL |
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