Doctor profile · Federal record

Dr. Mark Ainsworth, O.D.

Optometrist (CMS: Optometry) · Eyewear Supplier · Herkimer, NY

  • NPI 1255318861
  • Accepts Medicare
  • 35 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
394 E State St
Herkimer, NY 133502026
(315) 866-9667
fax (315) 866-9668
Additional location
1729 Burrstone RD
New Hartford, NY 134131001
(315) 798-1730
fax (315) 798-1496

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
August 1, 2024
Year of graduation
1991 — 35 yrs since
Specialty taxonomy
152W00000X — NUCC code
State license (1)
New York #TUV005303-1
Medicaid
NY #01912927

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1255318861. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
201
Distinct HCPCS
7
Medicare allowed
$16,437
HCPCS Description Services Patients Avg allowed
92014 Established patient complete exam of visual system 49 49 $122
92012 Established patient problem focused exam of visual system 43 43 $86
99212 Established patient office or other outpatient visit, 10-19 minutes 39 29 $54
92133 Imaging of optic nerve 22 17 $35
99213 Established patient office or other outpatient visit, 20-29 minutes 22 21 $87
92134 Imaging of retina 15 12 $39
92004 New patient complete exam of visual system 11 11 $129

In context: peer comparison

Among 2 peers in Herkimer Optometrist, average services per provider: 56. This provider delivers 3.6× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$258
Transactions
8
Manufacturers
4
Payer (manufacturer) Industry Txns Amount
Bausch & Lomb Americas INC. 4 $151.59
Abbvie INC. 2 $59.63
Tarsus Pharmaceuticals, INC. 1 $33.67
Alcon Vision LLC 1 $13.55

By nature of payment

Food and Beverage
$258

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
138
Patients
15
Total drug cost
$6,324
Drug Type Claims Patients Total cost
Latanoprost Generic 73 15 $948
Dorzolamide-Timolol (Dorzolamide Hcl/Timolol Maleat) Brand 36 0 $747
Brimonidine Tartrate Generic 16 0 $12
Alphagan P (Brimonidine Tartrate) Brand 13 0 $4,618

Frequently asked questions

Auto-generated from federal data
What is Dr. Mark Ainsworth's medical specialty?
Dr. Mark Ainsworth practices Optometrist in Herkimer, NY.
Where does Dr. Mark Ainsworth practice?
Dr. Mark Ainsworth practices at 394 E State St, Herkimer, NY 133502026. Office phone: 3158669667.
What is Dr. Mark Ainsworth's NPI?
Dr. Mark Ainsworth's National Provider Identifier (NPI) is 1255318861, issued by NPPES.
Does Dr. Mark Ainsworth accept Medicare assignment?
Yes. Dr. Mark Ainsworth accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mark Ainsworth commonly perform?
Top Medicare-reported procedures in 2023: Established patient complete exam of visual system (HCPCS 92014); Established patient problem focused exam of visual system (HCPCS 92012); Established patient office or other outpatient visit (HCPCS 99212). Source: CMS Medicare Physician & Other Practitioners file.