Active NPI 1669431805 Individual Practitioner Male Practitioner

Dr. Mark T Bergmann , MD

Ophthalmology • Cincinnati, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bergmann, MD is a registered healthcare professional specializing in Ophthalmology in Cincinnati, OH. Practice services are available at 2859 BOUDINOT AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

2859 Boudinot Ave
Ste 301

Cincinnati, OH 452381606

Telephone 5136613566

Fax 5136616469

Associated Practice Facility / Clinic

🏢 Tri-State Centers For Sight, Inc. Facility NPI 1265500821

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Cincinnati, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.9 Yrs

State Avg: 27.9 Yrs

Regional Practice Density

102 Specialists

Practicing in Cincinnati, OH (803 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	60	60	$487.00	$119.38
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$356.00	$85.45
92134 Imaging of retina	12	12	$158.00	$38.60
92133 Imaging of optic nerve	11	11	$144.00	$35.05

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	272	238	$506.00	$124.98
99213 Established patient office or other outpatient visit, typically 15 minutes	256	216	$356.00	$88.58
92014 Established patient complete exam of visual system	215	215	$487.00	$121.30
92133 Imaging of optic nerve	132	131	$144.00	$35.48
66821 Removal of recurring cataract in lens capsule using a laser	76	54	$1288.00	$299.17
92134 Imaging of retina	74	72	$157.22	$38.58
92083 Exam of visual field with extended testing	74	69	$238.14	$59.22
66984 Removal of cataract with insertion of lens	56	31	$2133.00	$526.74
92136 Measurement of corneal curvature and depth of eye	54	33	$180.50	$38.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$658.00	$164.63
92004 New patient complete exam of visual system	25	25	$580.00	$144.70
76514 Ultrasound scan of cornea to determine thickness	23	23	$47.00	$10.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$439.00	$109.76
92020 Examination of cornea and iris using lens device and slit lamp	18	18	$108.00	$27.22

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	680	639	$500.90	$127.64
92133 Imaging of optic nerve	141	138	$144.00	$36.04
66984 Removal of cataract with insertion of lens	138	83	$2133.00	$520.92
92136 Measurement of corneal curvature and depth of eye	132	91	$195.59	$44.32
99213 Established patient office or other outpatient visit, typically 15 minutes	131	114	$351.79	$89.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$656.16	$164.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	110	92	$216.30	$54.96
92083 Exam of visual field with extended testing	92	90	$241.09	$60.92
92134 Imaging of retina	82	81	$158.00	$39.12
66821 Removal of recurring cataract in lens capsule using a laser	64	48	$1287.72	$297.11
92020 Examination of cornea and iris using lens device and slit lamp	41	40	$108.00	$27.30
76514 Ultrasound scan of cornea to determine thickness	11	11	$47.00	$10.85

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	473	452	$201.45	$107.23
92014 Established patient complete exam of visual system	171	171	$193.58	$122.26
92133 Imaging of optic nerve	144	141	$92.40	$36.13
99213 Established patient office or other outpatient visit, typically 15 minutes	122	99	$130.55	$73.64
66984 Removal of cataract with insertion of lens	117	68	$1706.67	$533.09
92136 Measurement of corneal curvature and depth of eye	105	67	$146.16	$46.69
92083 Exam of visual field with extended testing	81	80	$158.80	$60.32
92134 Imaging of retina	77	75	$91.82	$38.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$295.75	$157.30
66821 Removal of recurring cataract in lens capsule using a laser	44	38	$764.09	$305.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	37	$80.93	$44.47
92020 Examination of cornea and iris using lens device and slit lamp	39	39	$63.85	$27.16
92012 Established patient problem focused exam of visual system	19	18	$133.63	$85.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	806	748	$174.00	$121.87
66984 Removal of cataract with insertion of lens	327	106	$1656.80	$359.51
92133 Imaging of optic nerve	220	214	$65.00	$35.79
92136 Measurement of corneal curvature and depth of eye	193	113	$250.00	$51.08
92012 Established patient problem focused exam of visual system	179	135	$120.00	$84.96
92083 Exam of visual field with extended testing	127	118	$110.00	$61.22
92134 Imaging of retina	103	101	$65.00	$39.50
92004 New patient complete exam of visual system	97	97	$209.00	$144.96
99213 Established patient office or other outpatient visit, typically 15 minutes	91	80	$101.00	$71.59
92020 Examination of cornea and iris using lens device and slit lamp	84	84	$60.00	$26.85
66821 Removal of recurring cataract in lens capsule using a laser	68	55	$935.00	$302.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	63	59	$60.00	$43.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$231.00	$160.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	47	$137.00	$105.64
65855 Laser repair to improve eye fluid flow	21	15	$1285.00	$240.70
76514 Ultrasound scan of cornea to determine thickness	15	15	$50.00	$11.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	687	665	$174.00	$120.12
92133 Imaging of optic nerve	251	241	$65.00	$35.96
66984 Removal of cataract with insertion of lens	205	122	$2850.00	$608.67
92136 Measurement of corneal curvature and depth of eye	199	121	$250.00	$54.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	149	135	$60.00	$41.91
99213 Established patient office or other outpatient visit, typically 15 minutes	147	119	$101.00	$70.18
92083 Exam of visual field with extended testing	140	133	$110.00	$60.75
92020 Examination of cornea and iris using lens device and slit lamp	104	103	$60.00	$25.86
66821 Removal of recurring cataract in lens capsule using a laser	103	80	$935.00	$292.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	92	$137.00	$103.68
92004 New patient complete exam of visual system	89	89	$209.00	$143.21
92012 Established patient problem focused exam of visual system	69	60	$120.00	$83.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	63	$199.00	$138.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$231.00	$151.71
92134 Imaging of retina	46	44	$65.00	$39.70
76514 Ultrasound scan of cornea to determine thickness	31	31	$50.00	$13.95
65855 Laser repair to improve eye fluid flow	20	17	$1285.00	$237.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$140.00	$102.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	753	726	$174.00	$117.35
92133 Imaging of optic nerve	257	248	$65.00	$35.52
92136 Measurement of corneal curvature and depth of eye	213	133	$250.00	$60.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	197	176	$60.00	$41.50
66984 Removal of cataract with insertion of lens	197	114	$2850.00	$607.04
99213 Established patient office or other outpatient visit, typically 15 minutes	172	122	$101.00	$69.82
92083 Exam of visual field with extended testing	160	150	$110.00	$60.64
92020 Examination of cornea and iris using lens device and slit lamp	123	121	$60.00	$25.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	85	$137.00	$103.14
66821 Removal of recurring cataract in lens capsule using a laser	83	62	$935.00	$296.44
92004 New patient complete exam of visual system	74	74	$209.00	$140.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	72	$199.00	$137.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$231.00	$156.53
92134 Imaging of retina	34	34	$65.00	$38.91
65855 Laser repair to improve eye fluid flow	26	20	$1285.00	$233.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$286.00	$199.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$140.00	$103.71
76514 Ultrasound scan of cornea to determine thickness	15	14	$50.00	$13.71
67840 Removal of eyelid growth	11	11	$430.91	$270.08

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License OH 35-049117

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

0688548 (OH)

Commercial Insurance / Payer ID Railroad Medicare

180032729 (OH)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Teresa Gossard , OD

Optometrist

NPI 1861451031

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 December 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location December 31, 2013

Registered at 2859 BOUDINOT AVE, STE 301, CINCINNATI, OH 452381606 (Tel: 5136613566)

📍

Updated Business Mailing Address December 31, 2013

Registered at 5535 FAIR LN, SUITE C, CINCINNATI, OH 452273434 (Tel: 5132215274)

👤

Provider Name / Credentials Updated December 31, 2013

Recorded as MARK BERGMANN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2013

Ophthalmology (License #35-049117 in OH)

🟢

Initial NPI Registration & Enumeration March 17, 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: 1669431805

Entity Type:

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

Enumeration Date: March 17, 2006

Last Update: December 31, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5535 Fair Ln, Suite C

Cincinnati, OH 452273434

Phone: 5132215274

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.