Active NPI 1114260163 Individual Practitioner Male Practitioner

Dr. Jay Berdia , MD

Ophthalmology • Hagerstown, MD

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jay Berdia, MD is a certified Ophthalmology practicing in Hagerstown, MD. With approximately 13 years of clinical experience since completing medical education in 2013, Dr. Berdia delivers high-quality medical care to the local community at 1800 DUAL HIGHWAY.

Dr. Berdia is affiliated with Cumberland Valley Retina Consultants Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chloroprocaine hcl ophthalmic, 3% gel, 1 mg, injection, faricimab-svoa, 0.1 mg, injection, pegcetacoplan, intravitreal, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 Dual Highway
Suite 201

Hagerstown, MD 217406636

Telephone 3016651712

Fax 3016651714

Associated Practice Facility / Clinic

🏢 Cumberland Valley Retina Consultants Pc Facility NPI 1467429647

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Hagerstown, MD

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -8.9 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 28.5 Yrs

Regional Practice Density

12 Specialists

Practicing in Hagerstown, MD (624 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Berdia (13 Years) 13 Yrs

Hagerstown Specialty Average (21.9 Years) 21.9 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
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	1,076,005	175	$0.72	$0.64
J2777 Injection, faricimab-svoa, 0.1 mg	33,840	70	$60.00	$34.16
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	5,580	39	$250.00	$147.25
Q5124 Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	4,530	110	$350.00	$169.35
92134 Imaging of retina	2,421	748	$100.00	$37.18
67028 Injection of drug into eye	1,497	209	$701.74	$121.84
92201 Extended exam of the back part of the eye with retinal drawing	1,399	707	$80.00	$23.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,060	539	$200.00	$123.07
76512 Ultrasound of eye disease, growth, or structure	850	322	$175.00	$44.74
92235 Exam of retinal blood vessels using a special camera after injection of a dye	463	294	$200.00	$153.49
99213 Established patient office or other outpatient visit, typically 15 minutes	442	262	$168.44	$87.71
92250 Photography of the retina	313	159	$100.00	$34.65
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	247	138	$350.00	$266.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	192	192	$225.00	$161.18
J0178 Injection, aflibercept, 1 mg	92	14	$1250.00	$815.55
92020 Examination of cornea and iris using lens device and slit lamp	28	21	$60.00	$25.59
92014 Established patient complete exam of visual system	20	19	$200.00	$116.85
92083 Exam of visual field with extended testing	14	14	$200.00	$58.32
67145 Photocoagulation treatment to prevent detachment of retina	13	11	$1000.00	$240.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2403 Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	178,400	124	$0.72	$0.69
J2777 Injection, faricimab-svoa, 0.1 mg	23,280	60	$60.00	$36.38
Q5124 Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	4,575	117	$349.69	$212.88
92134 Imaging of retina	2,121	683	$100.00	$38.51
67028 Injection of drug into eye	1,380	217	$621.74	$117.32
J2781 Injection, pegcetacoplan, intravitreal, 1 mg	1,335	28	$250.00	$151.06
92201 Extended exam of the back part of the eye with retinal drawing	1,167	656	$81.23	$24.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	812	470	$197.68	$124.55
76512 Ultrasound of eye disease, growth, or structure	417	201	$184.41	$46.56
92250 Photography of the retina	308	159	$100.00	$35.98
92235 Exam of retinal blood vessels using a special camera after injection of a dye	290	214	$200.00	$133.99
99213 Established patient office or other outpatient visit, typically 15 minutes	238	174	$123.21	$88.97
J0178 Injection, aflibercept, 1 mg	158	20	$1250.00	$858.22
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	155	106	$346.45	$252.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	145	145	$223.79	$163.21
J3490 Unclassified drugs	128	32	$5020.31	$2396.09
J2778 Injection, ranibizumab, 0.1 mg	85	14	$751.00	$222.79
92014 Established patient complete exam of visual system	63	58	$198.41	$123.05
92012 Established patient problem focused exam of visual system	17	16	$125.00	$89.65
92083 Exam of visual field with extended testing	15	14	$200.00	$59.30
92020 Examination of cornea and iris using lens device and slit lamp	14	13	$60.00	$27.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	4,500	34	$60.80	$37.45
J2778 Injection, ranibizumab, 0.1 mg	3,145	107	$751.00	$274.69
92134 Imaging of retina	1,880	651	$100.00	$39.35
92201 Extended exam of the back part of the eye with retinal drawing	1,276	640	$99.98	$24.41
67028 Injection of drug into eye	1,061	172	$554.15	$112.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	715	409	$160.00	$127.62
J0178 Injection, aflibercept, 1 mg	670	67	$1250.00	$896.38
76512 Ultrasound of eye disease, growth, or structure	474	208	$300.63	$47.39
99213 Established patient office or other outpatient visit, typically 15 minutes	391	215	$100.06	$89.85
92250 Photography of the retina	311	158	$100.00	$36.12
92235 Exam of retinal blood vessels using a special camera after injection of a dye	273	212	$200.00	$123.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	161	161	$200.16	$165.47
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	103	69	$300.00	$247.26
J3490 Unclassified drugs	72	20	$4000.00	$2226.12
92014 Established patient complete exam of visual system	34	25	$150.00	$128.47
92240 Exam of blood vessels between the white part of eye and retina using a special camera after injection of a dye	31	30	$275.00	$187.47
92020 Examination of cornea and iris using lens device and slit lamp	20	16	$60.00	$27.54
92083 Exam of visual field with extended testing	19	16	$200.00	$60.17
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	18	17	$200.00	$128.51
92004 New patient complete exam of visual system	12	12	$200.00	$152.83
92012 Established patient problem focused exam of visual system	11	11	$110.00	$87.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	2,020	63	$751.02	$314.89
92134 Imaging of retina	1,589	605	$99.95	$39.87
92201 Extended exam of the back part of the eye with retinal drawing	1,225	658	$100.00	$24.80
J0178 Injection, aflibercept, 1 mg	784	71	$1250.00	$914.37
67028 Injection of drug into eye	774	125	$556.40	$114.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	392	263	$141.73	$125.03
76512 Ultrasound of eye disease, growth, or structure	293	164	$300.00	$49.15
92235 Exam of retinal blood vessels using a special camera after injection of a dye	257	220	$200.00	$115.94
99213 Established patient office or other outpatient visit, typically 15 minutes	254	162	$100.00	$91.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	220	220	$200.00	$167.10
92250 Photography of the retina	203	128	$100.00	$38.57
92012 Established patient problem focused exam of visual system	168	100	$110.00	$89.99
92014 Established patient complete exam of visual system	152	117	$150.00	$125.72
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	91	52	$300.00	$252.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	57	13	$10.00	$1.27
92020 Examination of cornea and iris using lens device and slit lamp	16	15	$60.00	$28.25
95930 Measurement of nerve conduction using visual stimulation testing with report	16	14	$200.00	$66.22
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	14	13	$200.00	$129.00
92082 Exam of visual field with intermediate testing	13	11	$150.00	$47.02
67515 Injection of medication or substance into membrane covering eyeball	12	11	$200.00	$52.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	1,386	68	$751.13	$332.38
92134 Imaging of retina	1,097	491	$100.00	$39.92
92201 Extended exam of the back part of the eye with retinal drawing	750	454	$100.00	$25.39
67028 Injection of drug into eye	503	128	$552.19	$102.43
J0178 Injection, aflibercept, 1 mg	386	49	$1250.00	$927.35
92012 Established patient problem focused exam of visual system	327	185	$110.00	$87.89
92014 Established patient complete exam of visual system	255	194	$150.00	$126.45
76512 Ultrasound of eye disease, growth, or structure	227	142	$300.00	$52.47
92235 Exam of retinal blood vessels using a special camera after injection of a dye	195	168	$200.00	$103.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$200.00	$166.34
92250 Photography of the retina	136	96	$100.00	$44.12
92202 Extended exam of the back part of the eye with optic nerve drawing	73	55	$100.00	$15.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	46	$124.21	$110.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	51	11	$10.00	$1.47
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	32	22	$300.00	$228.55
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	20	18	$200.00	$130.93
95930 Measurement of nerve conduction using visual stimulation testing with report	12	11	$200.00	$66.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2778 Injection, ranibizumab, 0.1 mg	1,195	71	$751.36	$353.54
92134 Imaging of retina	901	436	$100.00	$39.83
92225 Examination of eye by ophthalmoscope with retinal drawing	628	291	$75.36	$27.51
92226 Examination of eye by ophthalmoscope with retinal drawing	623	260	$100.00	$25.12
67028 Injection of drug into eye	418	139	$550.00	$101.35
92012 Established patient problem focused exam of visual system	414	248	$110.00	$87.54
J0178 Injection, aflibercept, 1 mg	284	58	$1250.00	$943.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	216	216	$200.00	$163.59
92235 Exam of retinal blood vessels using a special camera after injection of a dye	170	143	$200.00	$90.52
76512 Ultrasound of eye disease, growth, or structure	143	89	$300.00	$60.32
92250 Photography of the retina	124	95	$100.00	$48.91
92014 Established patient complete exam of visual system	80	68	$150.00	$124.68
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	20	19	$200.00	$126.61
92242 Exam of retinal blood vessels and blood vessels between the white part of eye and retina using a special camera after injection of a dye	19	15	$300.00	$221.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$120.00	$109.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	250	188	$101.44	$42.89
92225 Examination of eye by ophthalmoscope with retinal drawing	222	115	$75.00	$28.59
J2778 Injection, ranibizumab, 0.1 mg	211	25	$751.82	$367.41
92226 Examination of eye by ophthalmoscope with retinal drawing	112	55	$100.00	$26.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$200.00	$173.10
92012 Established patient problem focused exam of visual system	79	53	$110.00	$92.84
67028 Injection of drug into eye	78	50	$550.00	$108.56
76512 Ultrasound of eye disease, growth, or structure	75	59	$302.84	$77.92
92250 Photography of the retina	53	42	$100.00	$58.25
92235 Exam of retinal blood vessels using a special camera after injection of a dye	51	51	$200.00	$90.39
J0178 Injection, aflibercept, 1 mg	44	14	$1250.00	$951.87
92014 Established patient complete exam of visual system	15	15	$150.00	$133.65

Medical Specialties & State Licenses

CMS Verified: 2025-03-04

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NC 2017-00822

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Cumberland Valley Retina Consultants Pc

414 Epic Dr, Chambersburg, PA 172012887

Phone: 7172636857

Cumberland Valley Retina Consultants Pc

710 Somerset Blvd, Charles Town, WV 254144998

Phone: 3016651712

Cumberland Valley Retina Consultants Pc

6333 Executive Blvd, Rockville, MD 208523905

Phone: 30166517121027

Cumberland Valley Retina Consultants Pc

1800 Dual Hwy, Hagerstown, MD 21740

Cumberland Valley Retina Consultants Pc

1800 Dual Hwy, Hagerstown, MD 217406636

Phone: 30166517121027

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Erwin Puente , MD

Ophthalmology - Retina Specialist

NPI 1003105677

Doctor of Medicine (M.D.)

Dr. Allen Hu , MD

Ophthalmology

NPI 1235315268

Doctor of Medicine (M.D.)

Dr. David Warrow , MD

Ophthalmology

NPI 1275776049

Doctor of Medicine (M.D.)

Dr. John Wroblewski , MD

Ophthalmology

NPI 1477521334

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location March 04, 2025

Registered at 1800 DUAL HIGHWAY, SUITE 201, HAGERSTOWN, MD 217406636 (Tel: 3016651712)

📍

Updated Business Mailing Address March 04, 2025

Registered at 1800 DUAL HIGHWAY, SUITE 201, HAGERSTOWN, MD 217406636 (Tel: 3016651712)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Student in an Organized Health Care Education/Training Program

✅

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2017

Registered at 2531 ERWIN RD, DURHAM, NC 27705 (Tel: 6312355667)

📍

Updated Business Mailing Address July 12, 2017

Registered at 508 DOUGLAS ST, DURHAM, NC 277053887 (Tel: (631) 235-5667)

👤

Provider Name / Credentials Updated July 12, 2017

Recorded as JAY BERDIA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Ophthalmology (License #2017-00822 in NC)

✅

NPI Profile Active March 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2013

Registered at 4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219 (Tel: 7182836000)

📍

Updated Business Mailing Address March 28, 2013

Registered at 4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219

👤

Provider Name / Credentials Updated March 28, 2013

Recorded as JAY BERDIA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2013

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration March 28, 2013

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: 1114260163

Entity Type:

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

Enumeration Date: March 28, 2013

Last Update: March 04, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1800 Dual Highway, Suite 201

Hagerstown, MD 217406636

Phone: 3016651712

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.