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MARGUERITE REGINA BILLBROUGH MD
NPI 1154398782
Ophthalmology in Media, PA

Active since March 02, 2006PECOS Enrolled
73.22/100
CMS Quality Rating
1098 W BALTIMORE PIKE STE 3301, MEDIA, PA 19063(610) 522-2822(610) 522-2880 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marguerite Regina Billbrough Md NPPES

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

MARGUERITE REGINA BILLBROUGH MD (NPI 1154398782) is an individual ophthalmology provider in Media, Pennsylvania, licensed in Pennsylvania (MD044676L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154398782
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameMARGUERITE REGINA BILLBROUGHCredential: MD
Location Address1098 W BALTIMORE PIKE STE 3301Media, PA 19063-5139
Mailing Address1098 W Baltimore Pike Ste 3301Media, PA 19063-5139 · (610) 522-2822 · Fax (610) 522-2880
Phone(610) 522-2822
Fax(610) 522-2880
Sole ProprietorNo
Enumeration DateMarch 2, 2006
Last NPPES UpdateJune 10, 2022
NPPES CertifiedJune 10, 2022
✔ NPI 1154398782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PA · MD044676L
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.
Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License MD044676L (PA)
1098 W BALTIMORE PIKE STE 3301, Media, PA 19063
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Other Identifiers 3

Medicaid01283813101PA
Other0466560000PA · Keystone Health Plan East
Other636411PA · Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Highmark Blue Cross Blue Shield Delaware 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 (PECOS)

Marguerite Regina Billbrough Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.
209 services204 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.
191 services160 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.
20 services20 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.
15 services13 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.
13 services13 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).
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19063 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

73.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.36
Promoting Interoperability78
Improvement Activities40
Cost32.71

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
7%97 patients1/55-star benchmark: 87%
Diabetes: Eye Exam
100%222 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,144 patients5/55-star benchmark: 100%
e-Prescribing
92%411 patients2/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
91%149 patients
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%1,422 patients1/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%122 patients
Provide Patients Electronic Access to Their Health Information
89%605 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Sending Health Information
48%33 patients2/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,006 patients
Patients totalRate: 0% · 1,006 patients
0%1,006 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

MARGUERITE R BILLBROUGH PC
Ophthalmology
1098 W BALTIMORE PIKE STE 3301
MEDIA, PA 19063
Delaware County (610) 522-2822

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 Marguerite Billbrough's NPI number?

The NPI number for Marguerite Billbrough is 1154398782. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Marguerite Billbrough located?

Marguerite Billbrough practices at 1098 W Baltimore Pike Ste 3301, Media, PA 19063. The listed phone number is (610) 522-2822.

What is Marguerite Billbrough's specialty?

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

Is Marguerite Billbrough enrolled in Medicare?

Yes. Marguerite Billbrough is registered in the Medicare PECOS enrollment system.

What insurance does Marguerite Billbrough accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Highmark Blue Cross Blue Shield Delaware and Highmark Blue Cross Blue Shield West Virginia list Marguerite Billbrough 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 Marguerite Billbrough was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.