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DR. CARL GARY BERKOWITZ
NPI 1275642878
Optometrist in Erie, PA

Active since August 29, 2006PECOS Enrolled

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Carl Gary Berkowitz NPPES

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

DR. CARL GARY BERKOWITZ (NPI 1275642878) is an individual optometrist in Erie, Pennsylvania, licensed in Pennsylvania (005205-P) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275642878
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CARL GARY BERKOWITZ
Location Address7360 PEACH STErie, PA 16509-4711
Mailing Address8658 Mayfair DrMc Kean, PA 16426-1226
Phone(814) 868-3937
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1275642878 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 · 005205-P
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.
7360 PEACH ST, Erie, PA 16509
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified35396PA
Medicare UPINT72387PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carl Gary Berkowitz 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carl Berkowitz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Visionworks, Inc.
1.2 mi
Optometrist
560 MILLCREEK MALL
Erie, PA 16565
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 191 clinicians in this Medicare group
NPI 1063579837 (814) 868-8540
Empire Vision Center Inc
215 mi
Optometrist
2921 ERIE BLVD E
Syracuse, NY 13224
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 78 clinicians in this Medicare group
NPI 1750358826 (315) 446-3145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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.

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 Carl Berkowitz's NPI number?

The NPI number for Carl Berkowitz is 1275642878. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Carl Berkowitz located?

Carl Berkowitz practices at 7360 Peach St, Erie, PA 16509. The listed phone number is (814) 868-3937.

What is Carl Berkowitz's specialty?

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

Is Carl Berkowitz enrolled in Medicare?

Yes. Carl Berkowitz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carl Berkowitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carl Berkowitz reassigns Medicare benefits to 2 organizations: Visionworks, Inc. (Erie, PA) and Empire Vision Center Inc (Syracuse, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carl Berkowitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carl Berkowitz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Carl 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 Carl Berkowitz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.