HUGH E BERCKMUELLER MD
NPI 1093701682
Ophthalmology in Newport News, VA

Q: What is Hugh Berckmueller's NPI number?

The NPI number for Hugh Berckmueller is 1093701682. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Q: What is Hugh Berckmueller's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Hugh Berckmueller was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

704 THIMBLE SHOALS BLVD, #100, NEWPORT NEWS, VA 23606(757) 595-8404(757) 595-8353 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Hugh E Berckmueller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HUGH E BERCKMUELLER MD (NPI 1093701682) is an individual ophthalmology provider in Newport News, Virginia, licensed in Virginia (0101056628) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Mary Immaculate Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1996).

NPPES Registry Identity

NPI1093701682

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameHUGH E BERCKMUELLERCredential: MD

Location Address704 THIMBLE SHOALS BLVD, #100Newport News, VA 23606-4544

Mailing Address704 Thimble Shoals Blvd, #100Newport News, VA 23606-4544 · (757) 595-8404 · Fax (757) 595-8353

Phone(757) 595-8404

Fax(757) 595-8353

Sole ProprietorNo

Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1996

Enumeration DateSeptember 20, 2005

Last NPPES UpdateSeptember 16, 2010

✔ NPI 1093701682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101056628

Definition

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.

704 THIMBLE SHOALS BLVD, Newport News, VA 23606

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Other Identifiers 8

Other317213VA · Blue Cross Blue Shield

Other22805VA · Optima

Medicare ID-Type Unspecified180000858VA

Medicare PIN1881655058VA

Other282367VA · Mamsi/optimum Choice

Medicare UPINH18702

Medicare NSC1881655058VA

Medicaid00630876VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hugh E Berckmueller Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032398540

PECOS Enrollment IDI20110128000599

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

1,049 services1,037 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

466 services354 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

460 services447 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

401 services330 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

270 services206 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

214 services182 patients

Exam of the internal drainage system of eye 92020

This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.

209 services208 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

149 services96 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

135 services89 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

85 services85 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

84 services81 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

64 services64 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

34 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

34 services34 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Immaculate Hospital

Acute Care Hospitals · Newport News, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490041

Location2 Bernardine DriveNewport News, VA 23602 · Newport News City County

Emergency services Birthing friendly

Sentara Careplex Hospital

Acute Care Hospitals · Hampton, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490093

Location3000 Coliseum DriveHampton, VA 23666 · Hampton City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23606 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMED INC

Clinic/Center (Primary Care)

704 THIMBLE SHOALS BLVD, SUITE 200
NEWPORT NEWS, VA 23606

Newport News City (757) 240-5580

MRS. JOYS MILLER NP

Nurse Practitioner (Family)

704 THIMBLE SHOALS BLVD, STE 700
NEWPORT NEWS, VA 23606

Newport News City (757) 873-2000

DEBRA L BASHKOFF OD

Optometrist

704 THIMBLE SHOALS BLVD, #100
NEWPORT NEWS, VA 23606

Newport News City (757) 595-8404

DR. HERBERT ALEXANDER WILSON III MD

Internal Medicine (Rheumatology)

704 THIMBLE SHOALS BLVD, BLDG 300A
NEWPORT NEWS, VA 23606

Newport News City (757) 595-4300

WOMICK PODIATRY CLINIC P C

Podiatrist

704 THIMBLE SHOALS BLVD, STE 300B
NEWPORT NEWS, VA 23606

Newport News City (757) 595-7634

JUDITH ANN NORMAN M.D.

Obstetrics & Gynecology

704 THIMBLE SHOALS BLVD, SUITE 600A
NEWPORT NEWS, VA 23606

Newport News City (757) 595-5075

BRIAN J MCKEE MD MS

Ophthalmology

704 THIMBLE SHOALS BLVD, #100
NEWPORT NEWS, VA 23606

Newport News City (757) 595-8404

CHARLES L GINSBURGH MD

Family Medicine

704 THIMBLE SHOALS BLVD, BLDG 5
NEWPORT NEWS, VA 23606

Newport News City (757) 599-1066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hugh Berckmueller's NPI number?

The NPI number for Hugh Berckmueller is 1093701682. It was assigned to this individual provider in the NPPES registry on September 20, 2005.

Where is Hugh Berckmueller located?

Hugh Berckmueller practices at 704 Thimble Shoals Blvd #100, Newport News, VA 23606. The listed phone number is (757) 595-8404.

What is Hugh Berckmueller's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Hugh Berckmueller enrolled in Medicare?

Yes. Hugh Berckmueller is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Hugh Berckmueller accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Hugh Berckmueller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hugh Berckmueller affiliated with any hospitals?

According to CMS data, Hugh Berckmueller is affiliated with Mary Immaculate Hospital and Sentara Careplex Hospital.

When was this NPI record last updated?

The NPPES record for Hugh Berckmueller was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.