Doctor profile · Federal record
Dr. Michael Mavencamp, OD
Optometrist (CMS: Optometry) · Fairbanks, AK
- NPI 1760541676
- Accepts Medicare
- 21 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
570 Riverstone Way, Ste 3
Fairbanks, AK 99709
(907) 479-4700
fax (907) 457-5596
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- August 28, 2012
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- Alaska #A240
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1760541676. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
727
Distinct HCPCS
9
Medicare allowed
$72,920
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 219 | 152 | $162 | |
92250 |
Photography of the retina | 129 | 108 | $46 | |
92083 |
Exam of visual field with extended testing | 104 | 79 | $74 | |
92133 |
Imaging of optic nerve | 90 | 71 | $41 | |
92014 |
Established patient complete exam of visual system | 78 | 78 | $155 | |
92134 |
Imaging of retina | 53 | 47 | $49 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 24 | 21 | $111 | |
92025 |
Ct scan of cornea | 18 | 15 | $39 | |
92004 |
New patient complete exam of visual system | 12 | 12 | $187 |
In context: peer comparison
Among 9 peers in Fairbanks Optometrist, average services per provider: 93. This provider delivers 7.8× the peer median.Open Payments
Industry payments received
All-time total
$182
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sun Pharmaceutical Industries INC. | 1 | $106.25 | |
| Dompe US, INC. | 1 | $29.55 | |
| Abbvie INC. | 1 | $27.97 | |
| Bausch & Lomb Americas INC. | 1 | $18.57 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
142
Patients
35
Total drug cost
$97,421
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cyclosporine | Generic | 25 | 12 | $24,781 |
| Loteprednol Etabonate | Generic | 25 | 0 | $4,931 |
| Xiidra (Lifitegrast) | Brand | 25 | 0 | $25,031 |
| Neomycin-Polymyxin-Dexameth (Neomycin/Polymyxin B/Dexametha) | Brand | 20 | 12 | $353 |
| Lumigan (Bimatoprost) | Brand | 19 | 0 | $12,507 |
| Restasis (Cyclosporine) | Brand | 17 | 11 | $29,114 |
| Brimonidine Tartrate | Generic | 11 | 0 | $703 |
Frequently asked questions
What is Dr. Michael Mavencamp's medical specialty?
Dr. Michael Mavencamp practices Optometrist in Fairbanks, AK.
Where does Dr. Michael Mavencamp practice?
Dr. Michael Mavencamp practices at 570 Riverstone Way, Fairbanks, AK 99709. Office phone: 9074794700.
What is Dr. Michael Mavencamp's NPI?
Dr. Michael Mavencamp's National Provider Identifier (NPI) is 1760541676, issued by NPPES.
Does Dr. Michael Mavencamp accept Medicare assignment?
Yes. Dr. Michael Mavencamp accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Michael Mavencamp commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Photography of the retina (HCPCS 92250); Exam of visual field with extended testing (HCPCS 92083). Source: CMS Medicare Physician & Other Practitioners file.