Ophthalmology In Martinsburg West Virginia

NPI list of 6 ophthalmology registered providers with a business address in Martinsburg, WV of which 1 are registered as organizations and 5 as individuals. An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

NPI Name Type Taxonomy Address Medicare PECOS
1043254477GEORGE ROBERT SMITHIndividualOphthalmology219 S SPRING ST
MARTINSBURG, WV 25401
(301) 791-0888
Accepts MedicareYES
1073592689PAUL VERNON WHITMOREIndividualOphthalmology510 BUTLER AVE
MARTINSBURG, WV 25401
(304) 263-0811
Non-Participating ProviderNO
1093748576JERRY ALLEN FOGLEIndividualOphthalmology2002 PROFESSIONAL CT
MARTINSBURG, WV 25401
(304) 267-4273
Non-Participating ProviderNO
1467538967MARTINSBURG EYE ASSOCIATES PLLCOrganizationOphthalmology2002 PROFESSIONAL CT
MARTINSBURG, WV 25401
(304) 267-4273
Non-Participating ProviderNO
1629161815VIGILIO M TANIndividualOphthalmology219 S SPRING STREET
MARTINSBURG, WV 25401
(304) 267-9981
Non-Participating ProviderNO
1760415228MARK EDWARD PROMERSBERGERIndividualOphthalmology2002 PROFESSIONAL CT
MARTINSBURG, WV 25401
(304) 267-4273
Accepts MedicareYES

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.