DR. MARK D HAHN (O.D.) – Optometrist, NPI 1528055969

DR. MARK D HAHN (O.D.) is a healthcare provider. based in Peoria, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 04600009257 (IL). The NPI Number for DR. MARK D HAHN (O.D.) is 1528055969

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK D HAHN (O.D.)
NPI
1528055969
Phone
(309) 693-9540
Address
8309 N KNOXVILLE AVE
Enumeration Date
30 September 2005
Last Update Date
4 January 2014

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3093539313
Graduation Year
2000 (26 years ago)
PAC ID
6305834979
Group Practice PAC ID
3173519014
Professional Enrollment ID
I20040503001285
Address ID
IL615546208PE3287XSTXX300
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

1,715 OPTOMETRY in IL

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Provider Addresses for DR. MARK D HAHN (O.D.)

  • 8309, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61615, United States

    PEORIA, IL 616152170

    Phone: (309) 693-9540

    Fax: (309) 693-9542

    Type: Mailing

  • Cherry Tree Shopping Center, Washington, Tazewell County, Illinois, 61571, United States

    WASHINGTON, IL 615712170

    Phone: (309) 444-2277

    Fax: (309) 444-2498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $96.

Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: CooperVision Inc. ($96).

Total Amount

$96

General + Research + Ownership

Payments

1

Total payment records

General Amount

$96

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$96
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: 2004-05-03

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
I20040503001285IOptometryILTBD

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 system103102$0
92083Exam of visual field with extended testing7945$0
92134Imaging of retina5451$0
92004New patient complete exam of visual system4242$0
99212Established patient office or other outpatient visit, 10-19 minutes4133$0
View full utilization report →

Insurance plans in this area (ZIP 61615)

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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: 3173519014View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
-IL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is the registry number for DR. MARK D HAHN (O.D.)?
The registry entry for DR. MARK D HAHN (O.D.) shows NPI 1528055969.
Should I treat DR. MARK D HAHN (O.D.) as an active provider?
Patients and plans typically see DR. MARK D HAHN (O.D.) as active in the national extract.
What services align with DR. MARK D HAHN (O.D.)'s listing?
DR. MARK D HAHN (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MARK D HAHN (O.D.)?
DR. MARK D HAHN (O.D.) is associated with Peoria, Illinois in the same public data insurers reference.
Can I export DR. MARK D HAHN (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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