MR. MARK MATTHEW MCKELL (O.D.) – Optometrist, NPI 1396853974

MR. MARK MATTHEW MCKELL (O.D.) is a healthcare provider. based in Nampa, Idaho. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. ODP-100119 (ID). The NPI Number for MR. MARK MATTHEW MCKELL (O.D.) is 1396853974

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MR. MARK MATTHEW MCKELL (O.D.)
NPI
1396853974
Phone
(208) 466-6895
Address
2100 CALDWELL BLVD
Enumeration Date
25 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
8014859757
Graduation Year
2006 (20 years ago)
PAC ID
7315947561
Professional Enrollment ID
I20110121000138
Address ID
UT841151805SA1818X300X300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

268 OPTOMETRY in ID

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Provider Addresses for MR. MARK MATTHEW MCKELL (O.D.)

  • 2100, Caldwell Boulevard, Nampa, Canyon County, Idaho, 83651, United States

    NAMPA, ID 836511510

    Phone: (208) 466-6895

    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 36 Open Payments records for all available years, with a total value of $1,135.

Total Amount is formed as General ($1,135) + Research ($0) + Ownership ($0) = $1,135.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($442).

Total Amount

$1,135

General + Research + Ownership

Payments

36

Total payment records

General Amount

$1,135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-01-21

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
I20110121000138IOptometryUTTBD

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 system187184$0
92004New patient complete exam of visual system167167$0
92250Photography of the retina10097$0
66984Removal of cataract with insertion of prosthetic lens3925$0
92012Established patient problem focused exam of visual system3431$0
View full utilization report →

Insurance plans in this area (ZIP 83651)

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Reviews

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Frequently asked questions

What is the registry number for MR. MARK MATTHEW MCKELL (O.D.)?
The registry entry for MR. MARK MATTHEW MCKELL (O.D.) shows NPI 1396853974.
Quick check: is MR. MARK MATTHEW MCKELL (O.D.) active?
Public NPPES data shows MR. MARK MATTHEW MCKELL (O.D.) with an active NPI status right now.
Which specialty label fits MR. MARK MATTHEW MCKELL (O.D.)?
NPPES ties MR. MARK MATTHEW MCKELL (O.D.) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. MARK MATTHEW MCKELL (O.D.)?
MR. MARK MATTHEW MCKELL (O.D.) is associated with Nampa, Idaho in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.