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DR. MARK EDWARD PROMERSBERGER M.D.
NPI 1760415228
Ophthalmology in Martinsburg, WV

Active since July 08, 2006PECOS EnrolledAccepts Medicare Assignment
79.65/100
CMS Quality Rating
2002 PROFESSIONAL CT, MARTINSBURG, WV 25401(304) 267-4273(304) 267-2135 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Edward Promersberger M.d. NPPES

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

DR. MARK EDWARD PROMERSBERGER M.D. (NPI 1760415228) is an individual ophthalmology provider in Martinsburg, West Virginia, licensed in West Virginia (19369) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and is a graduate of Virginia Commonwealth University, School Of Medicine (1991).

NPPES Registry Identity

NPI1760415228
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MARK EDWARD PROMERSBERGERCredential: M.D.
Location Address2002 PROFESSIONAL CTMartinsburg, WV 25401-8808
Mailing Address2002 Professional CtMartinsburg, WV 25401-8808 · (304) 267-4273 · Fax (304) 267-2135
Phone(304) 267-4273
Fax(304) 267-2135
Sole ProprietorYes
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1991
Enumeration DateJuly 8, 2006
Last NPPES UpdateOctober 4, 2011
✔ NPI 1760415228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WV · 19369
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.
2002 PROFESSIONAL CT, Martinsburg, WV 25401
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Other Identifiers 3

Medicare PIN9310551WV
Medicare UPING08579
Medicaid0202125000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.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 Edward Promersberger 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 ID8224107479
PECOS Enrollment IDI20111015000065
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 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.
1,145 services706 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.
948 services936 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
171 services134 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
144 services100 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.
108 services108 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
88 services75 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Berkeley Medical Center

Acute Care Hospitals · Martinsburg, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510008
Location2500 Hospital DriveMartinsburg, WV 25401 · Berkeley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25401 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

79.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.68
Improvement Activities40
Cost35.25

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers16 claims16 services$36.29 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers13 claims21 services$22.90 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. JERRY ALLEN FOGLE M.D.
Ophthalmology
2002 PROFESSIONAL CT
MARTINSBURG, WV 25401
Berkeley County (304) 267-4273
MR. KEVIN LOUIS DOBBINS O.D.
Optometrist
2002 PROFESSIONAL CT
MARTINSBURG, WV 25401
Berkeley County (304) 267-4273
MARTINSBURG EYE ASSOCIATES PLLC
Ophthalmology
2002 PROFESSIONAL CT
MARTINSBURG, WV 25401
Berkeley County (304) 267-4273

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 Promersberger's NPI number?

The NPI number for Mark Promersberger is 1760415228. It was assigned to this individual provider in the NPPES registry on July 8, 2006.

Where is Mark Promersberger located?

Mark Promersberger practices at 2002 Professional Ct, Martinsburg, WV 25401. The listed phone number is (304) 267-4273.

What is Mark Promersberger's specialty?

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

Is Mark Promersberger enrolled in Medicare?

Yes. Mark Promersberger 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 Promersberger accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Mark Promersberger 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.

Is Mark Promersberger affiliated with any hospitals?

According to CMS data, Mark Promersberger is affiliated with Berkeley Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Promersberger was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.