BRIAN K BERLINER O.D.
NPI 1285608927
Optometrist in Manhasset, NY

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
133 PLANDOME RD, MANHASSET, NY 11030(855) 295-4144 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Jan 27, 2022 (2 updates tracked since 2022).

About Brian K Berliner O.d. NPPES

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

BRIAN K BERLINER O.D. (NPI 1285608927) is an individual optometrist in Manhasset, New York, licensed in New York (VUT004257-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Huntington, and is a graduate of Illinois College Of Optometry At Chicago (1983).

NPPES Registry Identity

NPI1285608927
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameBRIAN K BERLINERCredential: O.D.
Location Address133 PLANDOME RDManhasset, NY 11030-2331
Mailing Address16 Lakeridge DrHuntington, NY 11743-3962 · (516) 521-8984
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1983
Enumeration DateFebruary 16, 2006
Last NPPES UpdateFebruary 5, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1285608927 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 NY · VUT004257-1
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.
133 PLANDOME RD, Manhasset, NY 11030

Secondary Practice Location 1

Location 116 Lakeridge DrHuntington, NY 11743-3962 · Phone (516) 521-8984

Other Identifiers 4

OtherP674719NY · Oxford
Other0083795NY · Ghi
Other0056259NY · Aetna
Other0074954NY · Aetna

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

Brian K Berliner 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 ID5193803989
PECOS Enrollment IDI20080418000390
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 4

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 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.
44 services35 patients
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.
16 services16 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.
16 services16 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Ophthalmology
133 PLANDOME RD
MANHASSET, NY 11030
Ophthalmology
133 PLANDOME RD
MANHASSET, NY 11030
Ophthalmology
133 PLANDOME RD
MANHASSET, NY 11030

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 Brian Berliner's NPI number?

The NPI number for Brian Berliner is 1285608927. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Brian Berliner located?

Brian Berliner practices at 133 Plandome Rd, Manhasset, NY 11030. The listed phone number is (855) 295-4144.

What is Brian Berliner's specialty?

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

Is Brian Berliner enrolled in Medicare?

Yes. Brian Berliner 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 Brian Berliner 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 list Brian Berliner 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 Brian Berliner was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.