Mark Mcdermott, OD
NPI 1083680599 · Optometrist · Minneapolis, MN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Mcdermott, OD is a Optometrist provider in Minneapolis, MN (NPI 1083680599).
Provider details
- NPI number
- 1083680599
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- License
- 02169 (IA)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Frequently asked questions
- What is Mark Mcdermott's NPI number?
- Mark Mcdermott's National Provider Identifier (NPI) is 1083680599, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Mcdermott's specialty?
- Mark Mcdermott is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mark Mcdermott located?
- Mark Mcdermott's practice location on file with NPPES is 4243 4th Ave S, Minneapolis, MN 55409-2113.
- What is Mark Mcdermott's phone number?
- The practice phone number listed in the NPPES registry for Mark Mcdermott is (612) 821-2003.
- Does Mark Mcdermott accept Medicare?
- Mark Mcdermott is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Mcdermott's NPI active?
- Yes — Mark Mcdermott's NPI (1083680599) is active in the NPPES registry as of the last update on 2025-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.