DR. BRIAN M MACKEY O.D.
NPI 1609891092
Optometrist in Berkeley Heights, NJ

Q: What is Brian Mackey's NPI number?

The NPI number for Brian Mackey is 1609891092. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Q: What is Brian Mackey'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 Brian Mackey was last updated on April 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment

369 SPRINGFIELD AVE, BERKELEY HEIGHTS, NJ 07922(908) 464-0123(908) 665-2936 Get Directions Write a Review

NPPES record last updated: April 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Brian M Mackey O.d. NPPES

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

DR. BRIAN M MACKEY O.D. (NPI 1609891092) is an individual optometrist in Berkeley Heights, New Jersey, licensed in New Jersey (27OA05532300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1994).

NPPES Registry Identity

NPI1609891092

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. BRIAN M MACKEYCredential: O.D.

Location Address369 SPRINGFIELD AVEBerkeley Heights, NJ 07922-1170

Mailing Address77 Glenwood RdFanwood, NJ 07023-1422 · (908) 889-6256

Phone(908) 464-0123

Fax(908) 665-2936

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1994

Enumeration DateJuly 13, 2006

Last NPPES UpdateApril 27, 2012

✔ NPI 1609891092 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 NJ · 27OA05532300

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.

369 SPRINGFIELD AVE, Berkeley Heights, NJ 07922

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Other Identifiers 2

Medicare UPINU58539NJ

Medicare ID-Type Unspecified006942NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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. Brian M Mackey 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 ID2860420379

PECOS Enrollment IDI20050727000140

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 7

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.

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.

129 services124 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

116 services61 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.

72 services72 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.

35 services35 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

28 services28 patients

Established patient office or other outpatient visit, 30-39 minutes 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.

24 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07922 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

26%65 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

95%59 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

21%58 patients1/55-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 13

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

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