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PHILIP BERRY OD
NPI 1548361124
Optometrist in Hagerstown, MD

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
17301 VALLEY MALL RD, HAGERSTOWN, MD 21740(301) 582-1771(301) 582-4681 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philip Berry Od NPPES

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

PHILIP BERRY OD (NPI 1548361124) is an individual optometrist in Hagerstown, Maryland, licensed in Maryland (TA0980) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1988).

NPPES Registry Identity

NPI1548361124
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NamePHILIP BERRYCredential: OD
Location Address17301 VALLEY MALL RDHagerstown, MD 21740-6966
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899
Phone(301) 582-1771
Fax(301) 582-4681
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1988
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJune 11, 2024
NPPES CertifiedJune 11, 2024
✔ NPI 1548361124 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 MD · TA0980
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.
17301 VALLEY MALL RD, Hagerstown, MD 21740
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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

Philip Berry Od 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 ID446200315
PECOS Enrollment IDI20151214002620
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 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.
53 services52 patients
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.
27 services23 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
26 services26 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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 13

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

SARA AREHART
Physical Therapy Assistant
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (240) 850-2002
MYEYEDR OPTOMETRY OF MARYLAND, LLC
Optometrist
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (301) 582-1771
DR. JOSHUA OSCAR WACH DPT
Physical Therapist
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (240) 850-2002
ASHLEY MARIE SIMMONS
Nurse Practitioner (Family)
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (301) 790-9239
DR. FABRICE DJOKO DZUGUIA OD
Optometrist
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (301) 582-1771
ANNA MARIE MCCLAIN DPT
Physical Therapist
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (240) 850-2002
LAURA KAYE FRANCIS RN
Nurse Practitioner (Family)
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (301) 790-9236
ALLEGANY OPTICAL LLC
Optometrist
17301 VALLEY MALL RD
HAGERSTOWN, MD 21740
Washington County (301) 582-1771

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 Philip Berry's NPI number?

The NPI number for Philip Berry is 1548361124. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Philip Berry located?

Philip Berry practices at 17301 Valley Mall Rd, Hagerstown, MD 21740. The listed phone number is (301) 582-1771.

What is Philip Berry's specialty?

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

Is Philip Berry enrolled in Medicare?

Yes. Philip Berry 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 Philip Berry 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 2 other insurers list Philip Berry 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 Philip Berry was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.