Active NPI 1821095373 Individual Practitioner Male Practitioner

Dr. Mark N Berman , MD

Ophthalmology • Sandy Springs, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Mark Berman, MD is a certified Ophthalmology practicing in Sandy Springs, GA. With approximately 31 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1995, Dr. Berman delivers high-quality medical care to the local community at 5995 BARFIELD RD.

Dr. Berman is affiliated with Thomas Eye Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with extended testing, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5995 Barfield Rd

Sandy Springs, GA 303284411

Telephone 4042561507

Fax 4042561981

Associated Practice Facility / Clinic

🏢 Thomas Eye Surgery Center Llc Facility NPI 1588663512

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Sandy Springs, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -1.0 yrs vs City Avg

City Avg: 32.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

14 Specialists

Practicing in Sandy Springs, GA (579 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berman (31 Years) 31 Yrs

Sandy Springs Specialty Average (32.0 Years) 32.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,122	946	$335.00	$126.25
92083 Exam of visual field with extended testing	646	601	$169.00	$61.92
92134 Imaging of retina	625	576	$100.00	$38.84
92133 Imaging of optic nerve	605	573	$100.00	$34.14
92014 Established patient complete exam of visual system	564	556	$315.00	$123.49
99213 Established patient office or other outpatient visit, typically 15 minutes	320	280	$240.00	$89.48
92020 Examination of cornea and iris using lens device and slit lamp	237	220	$70.00	$26.80
92136 Measurement of corneal curvature and depth of eye	235	143	$137.66	$38.89
66984 Removal of cataract with insertion of lens	176	101	$1950.00	$524.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	149	149	$440.00	$165.16
92004 New patient complete exam of visual system	107	107	$370.00	$144.92
66821 Removal of recurring cataract in lens capsule using a laser	83	64	$865.00	$326.54
92012 Established patient problem focused exam of visual system	66	63	$220.00	$86.77
76514 Ultrasound scan of cornea to determine thickness	45	45	$50.00	$10.46
66982 Complex removal of cataract with insertion of prosthetic lens	37	30	$2500.00	$724.06
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	28	16	$1000.00	$292.29
92060 Exam to measure eye deviation and range of motion	21	20	$155.00	$62.20
92250 Photography of the retina	18	18	$147.00	$35.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$295.00	$110.64
92002 New patient problem focused exam of visual system	12	12	$235.42	$83.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$150.00	$55.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,488	1,286	$314.00	$126.45
92083 Exam of visual field with extended testing	650	605	$170.51	$61.30
92134 Imaging of retina	625	583	$100.00	$39.38
92133 Imaging of optic nerve	625	585	$99.97	$35.05
99213 Established patient office or other outpatient visit, typically 15 minutes	566	421	$228.55	$89.22
92020 Examination of cornea and iris using lens device and slit lamp	252	229	$69.81	$27.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	237	237	$416.03	$164.68
92136 Measurement of corneal curvature and depth of eye	227	139	$139.12	$39.79
66984 Removal of cataract with insertion of lens	160	96	$1950.00	$533.12
92014 Established patient complete exam of visual system	139	139	$302.27	$125.29
66821 Removal of recurring cataract in lens capsule using a laser	78	61	$838.08	$329.74
76514 Ultrasound scan of cornea to determine thickness	47	47	$50.00	$10.64
92004 New patient complete exam of visual system	46	46	$353.04	$148.55
66982 Complex removal of cataract with insertion of prosthetic lens	42	32	$2486.90	$720.17
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	27	15	$1000.00	$295.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$290.38	$108.36
92060 Exam to measure eye deviation and range of motion	23	22	$152.91	$62.66
92250 Photography of the retina	16	15	$149.50	$36.41
92012 Established patient problem focused exam of visual system	13	13	$211.69	$89.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,244	1,079	$206.06	$127.80
92083 Exam of visual field with extended testing	569	542	$179.00	$62.38
92133 Imaging of optic nerve	554	513	$100.00	$36.81
92134 Imaging of retina	540	499	$100.00	$40.59
99213 Established patient office or other outpatient visit, typically 15 minutes	470	344	$145.66	$90.36
92020 Examination of cornea and iris using lens device and slit lamp	228	209	$69.00	$27.91
92014 Established patient complete exam of visual system	207	203	$250.49	$126.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	195	195	$293.31	$166.66
92136 Measurement of corneal curvature and depth of eye	174	111	$139.39	$41.84
66984 Removal of cataract with insertion of lens	155	93	$1950.00	$535.34
66821 Removal of recurring cataract in lens capsule using a laser	67	54	$715.00	$332.23
92004 New patient complete exam of visual system	57	57	$297.11	$150.82
76514 Ultrasound scan of cornea to determine thickness	40	40	$50.00	$10.89
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	33	18	$1000.00	$289.62
92012 Established patient problem focused exam of visual system	28	28	$178.11	$89.63
92060 Exam to measure eye deviation and range of motion	28	28	$131.00	$62.94
66982 Complex removal of cataract with insertion of prosthetic lens	22	18	$2500.00	$725.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$91.38	$56.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$262.00	$111.95
92250 Photography of the retina	14	14	$157.00	$36.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	1,396	1,267	$241.00	$128.29
92134 Imaging of retina	551	519	$100.00	$41.61
92133 Imaging of optic nerve	530	500	$100.00	$37.75
92083 Exam of visual field with extended testing	526	499	$179.00	$63.77
92012 Established patient problem focused exam of visual system	457	332	$169.00	$90.73
92004 New patient complete exam of visual system	287	287	$290.00	$152.01
92020 Examination of cornea and iris using lens device and slit lamp	251	241	$69.00	$28.16
92136 Measurement of corneal curvature and depth of eye	184	115	$152.76	$45.77
66984 Removal of cataract with insertion of lens	146	86	$1950.00	$544.67
66821 Removal of recurring cataract in lens capsule using a laser	75	68	$715.00	$339.14
99213 Established patient office or other outpatient visit, typically 15 minutes	46	43	$135.00	$92.21
66982 Complex removal of cataract with insertion of prosthetic lens	36	27	$2500.00	$734.46
76514 Ultrasound scan of cornea to determine thickness	35	35	$50.00	$11.20
92060 Exam to measure eye deviation and range of motion	22	20	$131.00	$64.21
92002 New patient problem focused exam of visual system	21	21	$161.00	$87.53
92250 Photography of the retina	17	17	$157.00	$38.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$195.00	$130.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	963	903	$234.16	$128.34
92133 Imaging of optic nerve	459	434	$92.66	$38.06
92083 Exam of visual field with extended testing	447	427	$171.60	$64.20
92012 Established patient problem focused exam of visual system	398	300	$162.07	$89.72
92134 Imaging of retina	367	343	$92.81	$41.81
92020 Examination of cornea and iris using lens device and slit lamp	229	219	$61.45	$28.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	160	$185.18	$110.19
92004 New patient complete exam of visual system	160	160	$283.31	$153.32
92136 Measurement of corneal curvature and depth of eye	136	97	$168.87	$53.26
66984 Removal of cataract with insertion of lens	129	82	$1950.00	$559.84
99213 Established patient office or other outpatient visit, typically 15 minutes	127	116	$126.02	$76.12
66821 Removal of recurring cataract in lens capsule using a laser	51	42	$715.00	$340.32
66982 Complex removal of cataract with insertion of prosthetic lens	37	29	$2500.00	$768.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$273.00	$166.47
92002 New patient problem focused exam of visual system	24	24	$153.50	$85.94
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	17	11	$1000.00	$307.97
76514 Ultrasound scan of cornea to determine thickness	16	16	$50.00	$11.09
92060 Exam to measure eye deviation and range of motion	14	14	$126.00	$64.76
92136 Measurement of corneal curvature and depth of eye	12	12	$167.67	$31.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,697	1,524	$185.00	$109.13
99213 Established patient office or other outpatient visit, typically 15 minutes	725	489	$125.00	$74.65
92133 Imaging of optic nerve	678	647	$90.00	$37.35
92083 Exam of visual field with extended testing	628	596	$169.00	$64.09
92134 Imaging of retina	533	502	$90.00	$41.43
92020 Examination of cornea and iris using lens device and slit lamp	523	505	$59.00	$27.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	335	335	$273.00	$164.51
92136 Measurement of corneal curvature and depth of eye	180	126	$166.00	$57.70
66984 Removal of cataract with insertion of lens	125	79	$1950.00	$649.34
76514 Ultrasound scan of cornea to determine thickness	112	112	$50.00	$12.08
66982 Complex removal of cataract with insertion of prosthetic lens	57	40	$2500.00	$806.88
66821 Removal of recurring cataract in lens capsule using a laser	54	43	$715.00	$336.63
92012 Established patient problem focused exam of visual system	53	52	$159.00	$89.06
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	52	27	$1000.00	$303.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	35	$72.00	$45.44
92014 Established patient complete exam of visual system	15	15	$231.00	$127.75
92060 Exam to measure eye deviation and range of motion	14	12	$121.00	$61.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$178.00	$109.31
92002 New patient problem focused exam of visual system	12	12	$151.00	$84.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,349	1,218	$185.00	$107.85
99213 Established patient office or other outpatient visit, typically 15 minutes	723	458	$125.00	$73.04
92133 Imaging of optic nerve	622	590	$90.00	$37.15
92083 Exam of visual field with extended testing	610	570	$169.00	$64.25
92020 Examination of cornea and iris using lens device and slit lamp	560	529	$59.00	$26.86
92134 Imaging of retina	493	463	$90.00	$41.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	256	256	$273.00	$164.60
92014 Established patient complete exam of visual system	220	217	$231.00	$126.94
92136 Measurement of corneal curvature and depth of eye	148	105	$166.00	$62.76
92012 Established patient problem focused exam of visual system	113	107	$159.00	$87.77
66984 Removal of cataract with insertion of lens	112	70	$1950.00	$646.63
76514 Ultrasound scan of cornea to determine thickness	78	78	$50.00	$14.58
92004 New patient complete exam of visual system	60	60	$280.00	$151.89
66821 Removal of recurring cataract in lens capsule using a laser	55	42	$715.00	$333.22
66982 Complex removal of cataract with insertion of prosthetic lens	48	36	$2500.00	$803.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	32	$72.00	$43.97
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	25	13	$1000.00	$300.50
92060 Exam to measure eye deviation and range of motion	23	20	$121.00	$64.94
92002 New patient problem focused exam of visual system	16	16	$151.00	$83.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,004	914	$185.00	$106.20
99213 Established patient office or other outpatient visit, typically 15 minutes	668	421	$125.00	$72.74
92020 Examination of cornea and iris using lens device and slit lamp	661	620	$59.00	$26.54
92133 Imaging of optic nerve	581	549	$90.00	$35.49
92083 Exam of visual field with extended testing	559	527	$169.00	$63.54
92014 Established patient complete exam of visual system	490	483	$231.00	$123.04
92134 Imaging of retina	439	409	$90.00	$40.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	211	211	$273.00	$163.57
92136 Measurement of corneal curvature and depth of eye	194	132	$166.00	$66.51
66984 Removal of cataract with insertion of lens	139	90	$1950.00	$635.63
92012 Established patient problem focused exam of visual system	138	126	$159.00	$84.12
92004 New patient complete exam of visual system	114	114	$280.00	$149.14
76514 Ultrasound scan of cornea to determine thickness	91	91	$50.00	$14.33
66821 Removal of recurring cataract in lens capsule using a laser	81	60	$715.00	$328.58
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	74	40	$1000.00	$294.79
66982 Complex removal of cataract with insertion of prosthetic lens	51	37	$2500.00	$796.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$72.00	$43.62
92002 New patient problem focused exam of visual system	23	23	$151.00	$79.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$178.00	$103.96

Medical Specialties & State Licenses

CMS Verified: 2021-03-09

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License GA 048876

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

00882703B (GA)

Medicaid State Provider ID

00882703C (GA)

Commercial Insurance / Payer ID Work Comp

582209517 (GA)

Commercial Insurance / Payer ID Aetna

7086365 (GA)

Commercial Insurance / Payer ID Wellcare

294424 (GA)

Commercial Insurance / Payer ID Dme

0818950001 (GA)

Commercial Insurance / Payer ID Rr Medicare

180044532 (GA)

Commercial Insurance / Payer ID Coventry Hmo

176785 (GA)

Commercial Insurance / Payer ID Aetna Hmo

2974279 (GA)

Commercial Insurance / Payer ID Uhc

0800477 (GA)

Hospital & Practice Group Affiliations

Thomas Eye Group Pc

11690 Alpharetta Hwy, Roswell, GA 300763805

Phone: 7704755515

Thomas Eye Group Pc

5995 Barfield Rd, Sandy Springs, GA 303284411

Phone: 4042561507

Thomas Eye Group Pc

149 Towne Lake Pkwy, Woodstock, GA 301884860

Phone: 7709284544

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners

Dr. Jerry Berland , MD

Ophthalmology

NPI 1043217458

Doctor of Medicine (M.D.)

Dr. Paul Kaufman , MD

Ophthalmology

NPI 1053318550

Doctor of Medicine (M.D.)

Dr. John Cobb , MD

Ophthalmology

NPI 1164429627

Doctor of Medicine (M.D.)

Dr. Joseph St. Louis , MD

Ophthalmology

NPI 1164429676

Doctor of Medicine (M.D.)

Dr. Kenneth Neufeld , MD

Ophthalmology

NPI 1427032697

Doctor of Medicine (M.D.)

Dr. Christina Locke , OD

Optometrist

NPI 1558925248

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 15, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2013

Registered at 5995 BARFIELD RD, SANDY SPRINGS, GA 303284411 (Tel: 4042561507)

📍

Updated Business Mailing Address November 15, 2013

Registered at 5901A PEACHTREE DUNWOODY RD NE, STE 500, ATLANTA, GA 303285382 (Tel: 6788922020)

👤

Provider Name / Credentials Updated November 15, 2013

Recorded as MARK BERMAN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2013

Ophthalmology (License #048876 in GA)

🟢

Initial NPI Registration & Enumeration June 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821095373

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 30, 2005

Last Update: March 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5901a Peachtree Dunwoody Rd Ne, Ste 500

Atlanta, GA 303285382

Phone: 6788922020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.