DR. MICHAEL S BERK OD
NPI 1619901469
Optometrist in Columbus, OH

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
5180 E MAIN ST, COLUMBUS, OH 43213(614) 866-9002(614) 866-3581 Get Directions Write a Review

NPPES record last updated: November 18, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael S Berk Od NPPES

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

DR. MICHAEL S BERK OD (NPI 1619901469) is an individual optometrist in Columbus, Ohio, licensed in Ohio (3660T353) 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 (1983).

NPPES Registry Identity

NPI1619901469
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MICHAEL S BERKCredential: OD
Location Address5180 E MAIN STColumbus, OH 43213
Mailing Address943 Johnstown RdGahanna, OH 43230 · (614) 476-2015 · Fax (614) 428-9856
Fax(614) 866-3581
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1983
Enumeration DateJuly 10, 2006
Last NPPES UpdateNovember 18, 2009
NPI 1619901469 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 OH · 3660T353
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.
5180 E MAIN ST, Columbus, OH 43213

Other Identifiers 4

Other11478366Caqh
Medicare UPINU18174
Medicare PINBE0606302OH
Medicare PINBE0606304OH

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. Michael S Berk 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 ID1951334366
PECOS Enrollment IDI20100202000268
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 5

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 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.
74 services74 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.
25 services17 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).
24 services16 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.
23 services21 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.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%20 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 14

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

Dentist (Endodontics)
5180 E MAIN ST, SUITE B
COLUMBUS, OH 43213
Dentist (General Practice)
5180 E MAIN ST
COLUMBUS, OH 43213
Dentist (Periodontics)
5180 E MAIN ST, SUITE A
COLUMBUS, OH 43213
Dentist (Periodontics)
5180 E MAIN ST, SUITE A
COLUMBUS, OH 43213
Optometrist
5180 E MAIN ST, SUITE F
COLUMBUS, OH 43213
Optometrist
5180 E MAIN ST, SUITE F
COLUMBUS, OH 43213
Optometrist
5180 E MAIN ST
COLUMBUS, OH 43213
Dentist (Pediatric Dentistry)
5180 E MAIN ST
COLUMBUS, OH 43213

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 Michael Berk's NPI number?

The NPI number for Michael Berk is 1619901469. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Michael Berk located?

Michael Berk practices at 5180 E Main St, Columbus, OH 43213. The listed phone number is (614) 866-9002.

What is Michael Berk's specialty?

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

Is Michael Berk enrolled in Medicare?

Yes. Michael Berk 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 Michael Berk accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and MedMutual and 2 other insurers list Michael Berk 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 Michael Berk was last updated on November 18, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.