DR. BRETT JOSEPH KARLIK M.D.
NPI 1770625774
Ophthalmology in Saint Marys, PA

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
70.1/100
CMS Quality Rating
765 JOHNSONBURG RD, SAINT MARYS, PA 15857(814) 781-3435(814) 781-7866 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brett Joseph Karlik M.d. NPPES

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

DR. BRETT JOSEPH KARLIK M.D. (NPI 1770625774) is an individual ophthalmology provider in Saint Marys, Pennsylvania, licensed in Pennsylvania (MD430836) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Drexel University College Of Medicine (2003).

NPPES Registry Identity

NPI1770625774
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BRETT JOSEPH KARLIKCredential: M.D.
Location Address765 JOHNSONBURG RDSaint Marys, PA 15857-3417
Mailing Address30 Fawnvue DrMc Kees Rocks, PA 15136-1006 · (516) 582-1454
Fax(814) 781-7866
Sole ProprietorYes
Medical School CMSDrexel University College Of MedicineGraduated 2003
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMay 12, 2014
NPI 1770625774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD430836
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.
765 JOHNSONBURG RD, Saint Marys, PA 15857

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. Brett Joseph Karlik 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 ID143326074
PECOS Enrollment IDI20070509000284
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 13

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.
523 services368 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
399 services243 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
107 services37 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).
51 services48 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.
37 services37 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.
36 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15857 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

70.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.08
Promoting Interoperability87
Improvement Activities40
Cost27.09

Referred Medical Equipment & Supplies CMS DME claims 3

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
3 suppliers56 claims56 services$47.90 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers28 claims54 services$51.15 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
3 suppliers28 claims54 services$51.88 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 8

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

Pharmacy (Community/Retail Pharmacy)
765 JOHNSONBURG RD
SAINT MARYS, PA 15857
Ophthalmology
765 JOHNSONBURG RD
SAINT MARYS, PA 15857
Optometrist
765 JOHNSONBURG RD
SAINT MARYS, PA 15857
Physician Assistant
765 JOHNSONBURG RD
SAINT MARYS, PA 15857
Optometrist
765 JOHNSONBURG RD
SAINT MARYS, PA 15857
Occupational Therapy Assistant
765 JOHNSONBURG RD
SAINT MARYS, PA 15857
Ophthalmology
765 JOHNSONBURG RD
SAINT MARYS, PA 15857
Occupational Therapy Assistant
765 JOHNSONBURG RD
SAINT MARYS, PA 15857

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 Brett Karlik's NPI number?

The NPI number for Brett Karlik is 1770625774. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is Brett Karlik located?

Brett Karlik practices at 765 Johnsonburg Rd, Saint Marys, PA 15857. The listed phone number is (814) 781-3435.

What is Brett Karlik's specialty?

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

Is Brett Karlik enrolled in Medicare?

Yes. Brett Karlik 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 Brett Karlik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Brett Karlik 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 Brett Karlik was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.