Mark Wilkins, O.D.
NPI 1538423769 · Optometrist · Maplewood, MO
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Wilkins, O.D. is a Optometrist provider in Maplewood, MO (NPI 1538423769).
Provider details
- NPI number
- 1538423769
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2012017715 (MO)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
81 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| New Patient Complete Exam of Visual System92004 | 69 | $135 |
| Photography of the Retina92250 | 12 | $32 |
Typical Medicare-allowed amounts for these services range $32–$135 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 1 Meramec Bluffs DrBallwin, MO 63021-3309Phone: (314) 502-9180
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Frequently asked questions
- What is Mark Wilkins's NPI number?
- Mark Wilkins's National Provider Identifier (NPI) is 1538423769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Wilkins's specialty?
- Mark Wilkins is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Mark Wilkins located?
- Mark Wilkins's practice location on file with NPPES is 2021 Maplewood Commons Dr, Maplewood, MO 63143-1003.
- What is Mark Wilkins's phone number?
- The practice phone number listed in the NPPES registry for Mark Wilkins is (314) 860-2020.
- Does Mark Wilkins accept Medicare?
- Mark Wilkins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Wilkins's NPI active?
- Yes — Mark Wilkins's NPI (1538423769) is active in the NPPES registry as of the last update on 2025-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.