DR. MARC ROBERT WERKSMAN O.D.
NPI 1366563827
Optometrist in Penn Hills, PA

Q: What is Marc Werksman's NPI number?

The NPI number for Marc Werksman is 1366563827. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Marc Werksman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marc Werksman was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment

645 RODI RD, PENN HILLS, PA 15235(412) 256-2020 Get Directions Write a Review

NPPES record last updated: July 27, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Marc Robert Werksman O.d. NPPES

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

DR. MARC ROBERT WERKSMAN O.D. (NPI 1366563827) is an individual optometrist in Penn Hills, Pennsylvania, licensed in Pennsylvania (OET009095) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1985).

NPPES Registry Identity

NPI1366563827

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MARC ROBERT WERKSMANCredential: O.D.

Location Address645 RODI RDPenn Hills, PA 15235-4564

Mailing Address645 Rodi RdPenn Hills, PA 15235-4564 · (412) 256-2020

Phone(412) 256-2020

Sole ProprietorYes

Medical School CMSPennsylvania College Of OptometryGraduated 1985

Enumeration DateApril 3, 2007

Last NPPES UpdateJuly 27, 2010

✔ NPI 1366563827 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 · OET009095

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.

645 RODI RD, Penn Hills, PA 15235

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Other Identifiers 1

Medicare UPINU21114PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marc Robert Werksman 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 ID6901077668

PECOS Enrollment IDI20110929000318

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 office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services20 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.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15235 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 20

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

NICOLE L WILSON LPN

Licensed Practical Nurse