DR. RICHARD A. BERKOWITZ M.D.
NPI 1093743056
Ophthalmology in Austin, TX

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
89.82/100
CMS Quality Rating
2610 S IH 35, AUSTIN, TX 78704(512) 443-9715(512) 443-9845 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Apr 26, 2019 (2 updates tracked since 2019).

About Dr. Richard A. Berkowitz M.d. NPPES

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

DR. RICHARD A. BERKOWITZ M.D. (NPI 1093743056) is an individual ophthalmology provider in Austin, Texas, licensed in Texas (G2318) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1093743056
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RICHARD A. BERKOWITZCredential: M.D.
Location Address2610 S IH 35Austin, TX 78704-5703
Mailing Address2610 S Ih 35Austin, TX 78704-5703 · (512) 443-9715 · Fax (512) 443-9845
Fax(512) 443-9845
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJune 29, 2006
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPI 1093743056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · G2318
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.

2610 S IH 35, Austin, TX 78704

Other Identifiers 5

Other816484TX · Bcbs
Medicaid117173806TX
Other8K9639TX · Medicare Individual Ptan
Medicaid117173801TX
Other180012855Railroad Medicare

Accepted 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

Dr. Richard A. Berkowitz M.d. 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 ID1759386568
PECOS Enrollment IDI20070613000715
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

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.

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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78704 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

89.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.4
Improvement Activities40
Cost68.2

Other Providers at the Same Location NPPES 8

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

Ophthalmology
2610 S IH 35
AUSTIN, TX 78704
Ophthalmology
2610 S IH 35
AUSTIN, TX 78704
Nurse Anesthetist, Certified Registered
2610 S IH 35
AUSTIN, TX 78704
Optometrist
2610 S IH 35
AUSTIN, TX 78704
Nurse Anesthetist, Certified Registered
2610 S IH 35
AUSTIN, TX 78704
Nurse Anesthetist, Certified Registered
2610 S IH 35
AUSTIN, TX 78704
Ophthalmology
2610 S IH 35
AUSTIN, TX 78704
Ophthalmology
2610 S IH 35
AUSTIN, TX 78704

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 Richard Berkowitz's NPI number?

The NPI number for Richard Berkowitz is 1093743056. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Richard Berkowitz located?

Richard Berkowitz practices at 2610 S Ih 35, Austin, TX 78704. The listed phone number is (512) 443-9715.

What is Richard Berkowitz's specialty?

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

Is Richard Berkowitz enrolled in Medicare?

Yes. Richard Berkowitz 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 Richard Berkowitz accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Richard Berkowitz 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.

When was this NPI record last updated?

The NPPES record for Richard Berkowitz was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.