MARK EVERETT SCHMIDT (O.D.) – Optometrist, NPI 1487640637

MARK EVERETT SCHMIDT (O.D.) is a healthcare provider. based in Brookville, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4047/T108 (OH). The NPI Number for MARK EVERETT SCHMIDT (O.D.) is 1487640637

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
MARK EVERETT SCHMIDT (O.D.)
NPI
1487640637
Phone
(419) 628-8267
Address
460 RONA PKWY
Enumeration Date
23 September 2005
Last Update Date
2 April 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
5597879080
Professional Enrollment ID
I20101101000643
Address ID
OH453091118Br460XXPKWY300
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

1,618 OPTOMETRY in OH

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Provider Addresses for MARK EVERETT SCHMIDT (O.D.)

  • 460, Rona Parkway, Brookville, Montgomery County, Ohio, 45309, United States

    BROOKVILLE, OH 453091118

    Phone: (419) 628-8267

    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 5 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: Alcon Vision LLC ($31).

Total Amount

$87

General + Research + Ownership

Payments

5

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

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: 2010-11-01

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
I20101101000643IOptometryOHTBD

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 system165165$0
92250Photography of the retina4545$0
99212Established patient office or other outpatient visit, 10-19 minutes3523$0
92004New patient complete exam of visual system2121$0
92134Imaging of retina1616$0
View full utilization report →

Insurance plans in this area (ZIP 45309)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MARK EVERETT SCHMIDT (O.D.)?
MARK EVERETT SCHMIDT (O.D.) — NPI 1487640637 — is the standard way to identify this listing.
Does CMS list MARK EVERETT SCHMIDT (O.D.) as active?
Yes — MARK EVERETT SCHMIDT (O.D.) is active in the NPI listing used on this page.
What is MARK EVERETT SCHMIDT (O.D.)'s primary classification?
Optometrist is the headline specialty for MARK EVERETT SCHMIDT (O.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect MARK EVERETT SCHMIDT (O.D.) on a map?
Expect Brookville, Ohio as a primary anchor for MARK EVERETT SCHMIDT (O.D.) unless the record lists multiple sites.
Is the information about MARK EVERETT SCHMIDT (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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