DR. MARK D STOVALL (OD) – Optometrist, NPI 1609823905

DR. MARK D STOVALL (OD) is a healthcare provider. based in Louisville, Kentucky. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 1147DT (KY). The NPI Number for DR. MARK D STOVALL (OD) is 1609823905

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK D STOVALL (OD)
NPI
1609823905
Phone
(502) 585-2020
Address
120 W MARKET ST
Enumeration Date
30 May 2006
Last Update Date
22 December 2022

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
8592919464
Graduation Year
1988 (38 years ago)
PAC ID
2961586888
Group Practice PAC ID
1951638964
Professional Enrollment ID
I20080229000509
Address ID
KY410712884NE142XXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

702 OPTOMETRY in KY

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Provider Addresses for DR. MARK D STOVALL (OD)

  • EMW Women's Surgical Center, 120, West Market Street, Louisville, Jefferson County, Kentucky, 40212, United States

    LOUISVILLE, KY 402021332

    Phone: (502) 585-2020

    Fax: (502) 585-1797

    Type: Location

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $337.

Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Alcon Vision LLC ($171).

Total Amount

$337

General + Research + Ownership

Payments

5

Total payment records

General Amount

$337

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2008-02-29

PECOS data refreshed: 2026-06-15

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
I20080229000509IOptometryKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes180155$0
92250Photography of the retina2323$0
92014Established patient complete exam of visual system1616$0
99214Established patient office or other outpatient visit, 30-39 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 40202)

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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: 1951638964View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YVA
O P T O M E T R YKY
O P T O M E T R YOH
O P T O M E T R YKY
O P T O M E T R YVA
O P T O M E T R YVA
O P T O M E T R YKY
O P T O M E T R YKY
O P T O M E T R YKY

Reviews

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Frequently asked questions

Does DR. MARK D STOVALL (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. MARK D STOVALL (OD) uses 1609823905.
Does CMS list DR. MARK D STOVALL (OD) as active?
Yes — DR. MARK D STOVALL (OD) is active in the NPI listing used on this page.
What is DR. MARK D STOVALL (OD)'s primary classification?
Optometrist is the headline specialty for DR. MARK D STOVALL (OD) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MARK D STOVALL (OD) on a map?
Expect Louisville, Kentucky as a primary anchor for DR. MARK D STOVALL (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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