Active NPI 1740234491 Individual Practitioner Female Practitioner

Dr. Monica B. Khalil , MD

Ophthalmology • Berkeley Heights, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Monica Khalil, MD is a certified Ophthalmology practicing in Berkeley Heights, NJ. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Khalil delivers high-quality medical care to the local community at 1 DIAMOND HILL RD.

Dr. Khalil is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, established patient complete exam of visual system, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd
Summit Medical Group

Berkeley Heights, NJ 079222104

Telephone 9082734300

Fax 9087906524

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1942254347

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Berkeley Heights, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +4.3 yrs vs City Avg

City Avg: 20.7 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Berkeley Heights, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khalil (25 Years) 25 Yrs

Berkeley Heights Specialty Average (20.7 Years) 20.7 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
99213 Established patient office or other outpatient visit, typically 15 minutes	609	405	$188.00	$98.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	425	338	$274.00	$138.18
92014 Established patient complete exam of visual system	345	344	$225.00	$139.02
66984 Removal of cataract with insertion of lens	252	162	$3769.00	$578.25
92134 Imaging of retina	227	206	$212.00	$44.14
76519 Ultrasound of eye for determination of lens power	182	176	$261.00	$75.35
92083 Exam of visual field with extended testing	160	154	$200.00	$70.59
92133 Imaging of optic nerve	108	106	$212.00	$39.19
66821 Removal of recurring cataract in lens capsule using a laser	92	73	$2500.00	$359.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$412.00	$182.19
92004 New patient complete exam of visual system	38	38	$240.00	$160.56
66982 Complex removal of cataract with insertion of prosthetic lens	27	23	$4500.00	$806.74
92250 Photography of the retina	14	14	$200.00	$40.78
76514 Ultrasound scan of cornea to determine thickness	14	14	$54.00	$11.82
92012 Established patient problem focused exam of visual system	12	12	$180.00	$99.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	655	459	$188.00	$98.63
92014 Established patient complete exam of visual system	419	419	$225.00	$140.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	301	$274.00	$139.91
66984 Removal of cataract with insertion of lens	279	173	$3769.00	$592.94
92134 Imaging of retina	243	230	$212.00	$45.01
76519 Ultrasound of eye for determination of lens power	196	194	$261.00	$76.71
92083 Exam of visual field with extended testing	157	153	$200.00	$69.23
92133 Imaging of optic nerve	99	95	$212.00	$39.36
66821 Removal of recurring cataract in lens capsule using a laser	96	85	$2513.02	$373.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	80	80	$412.00	$179.47
92004 New patient complete exam of visual system	45	45	$240.00	$161.73
92250 Photography of the retina	35	35	$200.00	$39.77
66982 Complex removal of cataract with insertion of prosthetic lens	28	22	$4500.00	$816.68
92012 Established patient problem focused exam of visual system	26	23	$180.00	$101.58
76514 Ultrasound scan of cornea to determine thickness	16	16	$54.00	$12.08
92081 Exam of visual field with limited testing	12	12	$150.00	$37.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	737	467	$188.00	$100.90
92014 Established patient complete exam of visual system	473	471	$225.00	$143.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	288	271	$274.00	$142.38
92134 Imaging of retina	259	234	$212.00	$46.37
66984 Removal of cataract with insertion of lens	219	141	$3769.00	$598.53
76519 Ultrasound of eye for determination of lens power	177	173	$261.00	$78.34
92083 Exam of visual field with extended testing	145	136	$200.00	$71.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$412.00	$182.48
92133 Imaging of optic nerve	103	97	$212.00	$41.11
92004 New patient complete exam of visual system	59	59	$240.00	$170.57
66821 Removal of recurring cataract in lens capsule using a laser	55	48	$2522.73	$384.61
92250 Photography of the retina	33	32	$200.00	$39.96
66982 Complex removal of cataract with insertion of prosthetic lens	25	23	$4500.00	$827.23
76514 Ultrasound scan of cornea to determine thickness	21	21	$54.00	$12.58
92012 Established patient problem focused exam of visual system	21	21	$180.00	$102.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$274.00	$118.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	657	441	$188.00	$102.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	353	$274.00	$144.68
92014 Established patient complete exam of visual system	340	338	$225.00	$145.80
66984 Removal of cataract with insertion of lens	204	138	$3769.00	$610.40
92134 Imaging of retina	197	183	$212.00	$46.94
76519 Ultrasound of eye for determination of lens power	146	145	$261.00	$78.20
92083 Exam of visual field with extended testing	131	121	$200.00	$73.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	113	113	$412.00	$184.22
66821 Removal of recurring cataract in lens capsule using a laser	81	64	$2500.00	$387.08
92133 Imaging of optic nerve	75	72	$212.00	$42.47
92004 New patient complete exam of visual system	50	50	$240.00	$172.88
36415 Insertion of needle into vein for collection of blood sample	48	48	$15.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	35	35	$32.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	34	34	$40.00	$10.56
66982 Complex removal of cataract with insertion of prosthetic lens	20	17	$4500.00	$840.48
92020 Examination of cornea and iris using lens device and slit lamp	11	11	$80.00	$31.87

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	474	429	$274.00	$121.52
99213 Established patient office or other outpatient visit, typically 15 minutes	461	326	$188.00	$83.56
92014 Established patient complete exam of visual system	196	195	$225.00	$143.32
66984 Removal of cataract with insertion of lens	166	112	$3769.00	$616.75
92134 Imaging of retina	146	140	$212.00	$46.10
76519 Ultrasound of eye for determination of lens power	119	115	$261.00	$77.11
92012 Established patient problem focused exam of visual system	110	96	$180.00	$100.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$412.00	$182.64
92083 Exam of visual field with extended testing	85	80	$200.00	$72.34
92133 Imaging of optic nerve	75	73	$212.00	$41.93
66821 Removal of recurring cataract in lens capsule using a laser	64	57	$2500.00	$376.49
36415 Insertion of needle into vein for collection of blood sample	56	55	$15.00	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	52	$32.00	$7.72
80053 Blood test, comprehensive group of blood chemicals	50	49	$40.00	$10.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$274.00	$119.00
92250 Photography of the retina	11	11	$200.00	$52.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	885	513	$180.00	$98.69
92014 Established patient complete exam of visual system	540	536	$225.00	$140.69
66984 Removal of cataract with insertion of lens	221	151	$3769.00	$698.00
76519 Ultrasound of eye for determination of lens power	148	147	$261.00	$74.48
92134 Imaging of retina	107	104	$212.00	$45.69
92083 Exam of visual field with extended testing	83	79	$200.00	$72.36
92133 Imaging of optic nerve	81	81	$212.00	$41.31
92004 New patient complete exam of visual system	79	79	$240.00	$166.28
36415 Insertion of needle into vein for collection of blood sample	61	59	$15.00	$2.94
66821 Removal of recurring cataract in lens capsule using a laser	61	52	$2500.00	$375.32
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	50	50	$32.00	$8.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$259.75	$117.91
80053 Blood test, comprehensive group of blood chemicals	48	48	$40.00	$11.27
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	29	17	$2797.41	$345.31
92020 Examination of cornea and iris using lens device and slit lamp	25	25	$80.00	$30.75
92132 Imaging of front third of eye	16	14	$128.00	$35.64
66982 Complex removal of cataract with insertion of prosthetic lens	15	11	$4500.00	$882.65
92002 New patient problem focused exam of visual system	13	13	$195.00	$94.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,005	557	$180.00	$98.19
92014 Established patient complete exam of visual system	552	547	$225.00	$140.29
66984 Removal of cataract with insertion of lens	238	167	$3769.00	$693.89
76519 Ultrasound of eye for determination of lens power	178	171	$271.89	$84.21
92083 Exam of visual field with extended testing	99	91	$200.00	$73.52
92004 New patient complete exam of visual system	98	98	$240.00	$166.36
36415 Insertion of needle into vein for collection of blood sample	78	74	$15.00	$2.94
92133 Imaging of optic nerve	72	71	$212.00	$41.49
80053 Blood test, comprehensive group of blood chemicals	69	67	$40.00	$12.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	66	62	$32.00	$9.26
66821 Removal of recurring cataract in lens capsule using a laser	49	41	$2500.00	$359.93
92134 Imaging of retina	39	39	$212.00	$44.29
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	21	13	$2750.00	$337.81
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$80.00	$29.89
66982 Complex removal of cataract with insertion of prosthetic lens	18	14	$4500.00	$870.68
92002 New patient problem focused exam of visual system	15	15	$195.00	$90.47
92081 Exam of visual field with limited testing	13	13	$150.00	$39.36
76514 Ultrasound scan of cornea to determine thickness	12	12	$54.00	$17.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	972	556	$180.00	$94.22
92014 Established patient complete exam of visual system	456	453	$225.00	$136.64
66984 Removal of cataract with insertion of lens	239	163	$3769.00	$698.07
76519 Ultrasound of eye for determination of lens power	176	172	$375.00	$93.04
36415 Insertion of needle into vein for collection of blood sample	87	83	$15.00	$2.91
92083 Exam of visual field with extended testing	85	75	$200.00	$72.53
92004 New patient complete exam of visual system	85	85	$240.00	$162.67
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	83	79	$32.00	$10.45
80053 Blood test, comprehensive group of blood chemicals	83	80	$40.00	$12.70
92134 Imaging of retina	51	51	$212.00	$45.72
66821 Removal of recurring cataract in lens capsule using a laser	46	41	$2500.00	$363.16
92133 Imaging of optic nerve	39	39	$212.00	$42.12
92002 New patient problem focused exam of visual system	33	33	$195.00	$91.20
0191T Internal insertion of eye fluid drainage device	18	11	$4466.00	$1159.57
66982 Complex removal of cataract with insertion of prosthetic lens	17	15	$4500.00	$868.43
92081 Exam of visual field with limited testing	15	15	$150.00	$38.43

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ MA79381

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.

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

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

40 Associated Practitioners

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Doctor of Medicine (M.D.)

Dr. John Dokko , DO

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NPI 1003804550

Doctor of Osteopathic Medicine (D.O.)

Denise Rizzolo , PA

Physician Assistant

NPI 1003986191

Physician Assistant

Dr. Lawrence Nastro , MD

Internal Medicine - Infectious Disease

NPI 1013904861

Doctor of Medicine (M.D.)

Debra Ryan , PT

Physical Therapist

NPI 1013989045

Physical Therapist

Dr. Amir Salomon , MD

Radiology - Diagnostic Radiology

NPI 1033181011

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082734300)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MONICA KHALIL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #MA79381 in NJ)

🟢

Initial NPI Registration & Enumeration May 19, 2006

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: 1740234491

Entity Type:

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

Enumeration Date: May 19, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd, Summit Medical Group

Berkeley Heights, NJ 079222104

Phone: 9082734300

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.