MARK D POPHAL (M.D.) – Ophthalmology Physician, NPI 1407849516

MARK D POPHAL (M.D.) is a healthcare provider. based in Lyndhurst, Ohio. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. 35-05-9490-P (OH). The NPI Number for MARK D POPHAL (M.D.) is 1407849516

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK D POPHAL (M.D.)
NPI
1407849516
Phone
(216) 382-8022
Address
29001 CEDAR RD STE 110
Enumeration Date
24 August 2005
Last Update Date
22 June 2020

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
4404426000
Graduation Year
1988 (38 years ago)
PAC ID
7315920162
Group Practice PAC ID
2769386192
Professional Enrollment ID
I20040621001959
Address ID
OH441244041LY29001RDXX305
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

840 OPHTHALMOLOGY in OH

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Provider Addresses for MARK D POPHAL (M.D.)

  • Cedar Road, Lyndhurst, Cuyahoga County, Ohio, 44040, United States

    LYNDHURST, OH 441244041

    Phone: (216) 382-8022

    Fax: (216) 382-7667

    Type: Location

  • PO BOX 378

    SANDUSKY, OH 448710378

    Phone: (419) 626-6161

    Fax: (419) 502-3511

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $813.

Total Amount is formed as General ($813) + Research ($0) + Ownership ($0) = $813.

Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($150).

Total Amount

$813

General + Research + Ownership

Payments

39

Total payment records

General Amount

$813

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-26

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: 2004-06-21

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
I20040621001959IOphthalmologyOHTBD

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 system807727$0
92012Established patient problem focused exam of visual system344249$0
92083Exam of visual field with extended testing187166$0
92133Imaging of optic nerve186180$0
92134Imaging of retina180172$0
View full utilization report →

Insurance plans in this area (ZIP 44124)

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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: 2769386192View full group profile
NameSpecialtyState
Internal MedicineOH
-OH
-OH
Nurse PractitionerOH
Physical Therapist In Private PracticeOH
D E R M A T O L O G YOH
-OH
P O D I A T R YOH
-OH
Sports MedicineOH

Reviews

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Frequently asked questions

How do payers reference MARK D POPHAL (M.D.)?
For MARK D POPHAL (M.D.), use NPI 1407849516 as the unique 10-digit identifier.
Active or inactive — what applies to MARK D POPHAL (M.D.)?
You should see MARK D POPHAL (M.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to MARK D POPHAL (M.D.)?
MARK D POPHAL (M.D.)'s specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is MARK D POPHAL (M.D.) located near Lyndhurst?
MARK D POPHAL (M.D.) currently maps to Lyndhurst, Ohio in this extract.
Can I trust this NPI listing for MARK D POPHAL (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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