MARK A HAVERA (OD) – Optometrist, NPI 1306125166

MARK A HAVERA (OD) is a healthcare provider. based in Eureka, Missouri. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 046010454 (IL). The NPI Number for MARK A HAVERA (OD) is 1306125166

Main info

Male
15 Years Of Experience
Name
MARK A HAVERA (OD)
NPI
1306125166
Phone
(636) 200-4393
Address
40 E NORTH ST
Enumeration Date
11 August 2011
Last Update Date
2 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6183440511
Graduation Year
2011 (15 years ago)
PAC ID
5496927576
Group Practice PAC ID
2961737549
Professional Enrollment ID
I20111014000041
Address ID
IL622343226CO119XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for MARK A HAVERA (OD)

  • 40 E NORTH ST

    EUREKA, MO 630251205

    Phone: (636) 200-4393

    Fax: (636) 938-2650

    Type: Mailing

  • 6663 EDWARDSVILLE CROSSING DR

    STE B

    EDWARDSVILLE, IL 620252704

    Phone: (618) 659-2320

    Fax: (618) 655-0375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $385.

Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($246).

Total Amount

$385

General + Research + Ownership

Payments

19

Total payment records

General Amount

$385

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: 2011-10-14

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
I20111014000041IOptometryILTBD

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
66984Removal of cataract with insertion of prosthetic lens1,26312$0
99213Established patient office or other outpatient visit, 20-29 minutes143134$0
99214Established patient office or other outpatient visit, 30-39 minutes4847$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 63025)

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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: 2961737549View full group profile
NameSpecialtyState
O P T O M E T R YIL

Reviews

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Frequently asked questions

What is the registry number for MARK A HAVERA (OD)?
The registry entry for MARK A HAVERA (OD) shows NPI 1306125166.
Should I treat MARK A HAVERA (OD) as an active provider?
Patients and plans typically see MARK A HAVERA (OD) as active in the national extract.
What does the directory say MARK A HAVERA (OD) does?
Insurance directories may phrase it differently, but here MARK A HAVERA (OD) maps to Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit MARK A HAVERA (OD) in Eureka, Missouri?
For routing, start with Eureka, Missouri for MARK A HAVERA (OD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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