DR. MARK N BERKOWITZ M.D.
NPI 1447232459
Ophthalmology in Sterling Heights, MI

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
90.65/100
CMS Quality Rating
44650 DELCO BLVD, STERLING HEIGHTS, MI 48313(586) 254-1770(586) 254-3515 Get Directions Write a Review

NPPES record last updated: January 6, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark N Berkowitz M.d. NPPES

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

DR. MARK N BERKOWITZ M.D. (NPI 1447232459) is an individual ophthalmology provider in Sterling Heights, Michigan, licensed in Michigan (065501) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Icahn School Of Medicine At Mount Sinai (1990).

NPPES Registry Identity

NPI1447232459
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK N BERKOWITZCredential: M.D.
Location Address44650 DELCO BLVDSterling Heights, MI 48313-1024
Mailing Address44650 Delco BlvdSterling Heights, MI 48313-1024 · (586) 254-1770 · Fax (586) 254-3515
Fax(586) 254-3515
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1990
Enumeration DateNovember 16, 2005
Last NPPES UpdateJanuary 6, 2011
NPI 1447232459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MI · 065501
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.

44650 DELCO BLVD, Sterling Heights, MI 48313

Other Identifiers 4

Other0500235MI · Bcbsm
Medicare UPING14716MI
Medicare ID-Type UnspecifiedOEO4593008MI
Medicaid3160474MI

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

Dr. Mark N Berkowitz M.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 ID4385539923
PECOS Enrollment IDI20101111000734
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 11

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.
132 services93 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.
115 services81 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.
107 services106 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).
74 services73 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
38 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
37 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48313 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

90.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost68.86

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%43 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 9

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

Ophthalmology
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Ophthalmology
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Ophthalmology
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Optometrist
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Clinic/Center (Ambulatory Surgical)
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Technician/Technologist (Optician)
44650 DELCO BLVD
STERLING HTS, MI 48313
Nurse Practitioner (Primary Care)
44650 DELCO BLVD
STERLING HEIGHTS, MI 48313
Technician/Technologist (Optician)
44650 DELCO BLVD
STERLING HTS, MI 48313

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 Mark Berkowitz's NPI number?

The NPI number for Mark Berkowitz is 1447232459. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Mark Berkowitz located?

Mark Berkowitz practices at 44650 Delco Blvd, Sterling Heights, MI 48313. The listed phone number is (586) 254-1770.

What is Mark Berkowitz's specialty?

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

Is Mark Berkowitz enrolled in Medicare?

Yes. Mark Berkowitz 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 Mark Berkowitz accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Mark 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 Mark Berkowitz was last updated on January 6, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.