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MARILYN K. BERKELY O.D.
NPI 1245294172
Optometrist in New Castle, PA

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
142 ENCLAVE DR, NEW CASTLE, PA 16105(724) 658-1781(724) 658-1923 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marilyn K. Berkely O.d. NPPES

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

MARILYN K. BERKELY O.D. (NPI 1245294172) is an individual optometrist in New Castle, Pennsylvania, licensed in Pennsylvania (OEG000787) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1984).

NPPES Registry Identity

NPI1245294172
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARILYN K. BERKELYCredential: O.D.
Location Address142 ENCLAVE DRNew Castle, PA 16105-3208
Mailing Address142 Enclave DrNew Castle, PA 16105-3208 · (724) 658-1781 · Fax (724) 658-1923
Phone(724) 658-1781
Fax(724) 658-1923
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1984
Enumeration DateApril 17, 2006
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1245294172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG000787
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
142 ENCLAVE DR, New Castle, PA 16105
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Other Identifiers 8

Other5266203PA · Aetna
Medicare UPINT29203PA
Other25-1548092PA · Vision Service Plan
Medicare ID-Type Unspecified000987010PA
Medicare PIN410010440PA
Other25-1548092PA · Vision Benefits Of Americ
Medicaid102035975-0001PA
Medicare PIN117829WTXPA

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

Marilyn K. Berkely O.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 ID1850491481
PECOS Enrollment IDI20070712000148
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 2

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.
11 services11 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16105 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 3

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

DR. CHRISTOPHER JAMES BERKELY O.D.
Optometrist
142 ENCLAVE DR
NEW CASTLE, PA 16105
Lawrence County (724) 658-1781
JOSEPH J. BERKELY O.D.
Optometrist
142 ENCLAVE DR
NEW CASTLE, PA 16105
Lawrence County (724) 658-1781
BERKELY EYE ASSOCIATES, LLC
Optometrist
142 ENCLAVE DR
NEW CASTLE, PA 16105
Lawrence County (724) 658-1781

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 Marilyn Berkely's NPI number?

The NPI number for Marilyn Berkely is 1245294172. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Marilyn Berkely located?

Marilyn Berkely practices at 142 Enclave Dr, New Castle, PA 16105. The listed phone number is (724) 658-1781.

What is Marilyn Berkely's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Marilyn Berkely enrolled in Medicare?

Yes. Marilyn Berkely 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 Marilyn Berkely 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 3 other insurers list Marilyn Berkely 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 Marilyn Berkely was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.