MARK DANIEL BERRY
NPI 1639817497
Student in an Organized Health Care Education/Training Program in Lubbock, TX
About Mark Daniel Berry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK DANIEL BERRY (NPI 1639817497) is an individual student in an organized health care education/training program in Lubbock, Texas, licensed in Texas (BP10080216) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Daniel Berry 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Live Oak, TX 78233
- Reassigned Medicare billing, Texas enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Berry's NPI number?
The NPI number for Mark Berry is 1639817497. It was assigned to this individual provider in the NPPES registry on May 23, 2022.
Where is Mark Berry located?
Mark Berry practices at Department Of Ophthalmology 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-2020.
What is Mark Berry's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mark Berry enrolled in Medicare?
Yes. Mark 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.
Which organization bills Medicare for Mark Berry's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Berry reassigns Medicare benefits to Alamo City Eye Physicians PA (Live Oak, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Berry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mark Berry was last updated on April 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Mark Daniel Berry · NPI 1639817497
Student in an Organized Health Care Education/Training Program provider in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since May 23, 2022.
## Identity
- **NPI:** 1639817497 (Entity type: Individual)
- **Enumerated:** May 23, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** BP10080216 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** DEPARTMENT OF OPHTHALMOLOGY 3601 4TH ST, Lubbock, TX 79430-0001
- **Phone:** (806) 743-2020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alamo City Eye Physicians PA (NPI 1952407322, Live Oak, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639817497) · Data from the CMS NPPES public registry.