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Deactivated NPI 1770586687 Deactivated / Inactive NPI Male Practitioner

Dr. Jon L Marberger , OD

Optometrist • Glenside, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jon Marberger has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2005
NPI Deactivation Date April 16, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Jon Marberger, OD was a registered Optometrist practicing in Glenside, PA. Throughout an active medical career spanning 21 years, Dr. Marberger provided care at the practice location at 2256 MOUNT CARMEL AVE until profile deactivation on 2026-04-16.

Historical Medicare Part B clinical services included established patient outpatient office visit, established patient problem focused exam of visual system, photography of the retina. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2256 Mount Carmel Ave

Glenside, PA 190384610

Telephone 2155761321
Fax 2158866892
Associated Practice Facility / Clinic
🏢 Jon L Marberger Facility NPI 1265737159

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Glenside, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
3 Specialists

Practicing in Glenside, PA (2764 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
19.2% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
193 182 $149.90 $133.10
92012 Established patient problem focused exam of visual system
39 33 $90.00 $88.78
92250 Photography of the retina
28 27 $90.00 $39.05
99213 Established patient office or other outpatient visit, typically 15 minutes
20 18 $83.50 $79.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
20 20 $197.50 $171.88
92201 Extended exam of the back part of the eye with retinal drawing
16 14 $55.00 $25.53

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PA OEG000871

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated April 16, 2026

Record deactivated on April 16, 2026

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Updated Practice Location December 10, 2025

Registered at 130 EAST GLENSIDE AVE, GLENSIDE, PA 19038 (Tel: 2672542449)

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Updated Business Mailing Address December 10, 2025

Registered at PO BOX 429, GLENSIDE, PA 190380429 (Tel: 2672542449)

NPI Profile Active March 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 28, 2008

Registered at 2256 MOUNT CARMEL AVE, GLENSIDE, PA 190384610 (Tel: 2155761321)

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Updated Business Mailing Address March 28, 2008

Registered at PO BOX 429, 2256 MT CARMEL AVE, GLENSIDE, PA 190380429 (Tel: 2155761321)

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Provider Name / Credentials Updated March 28, 2008

Recorded as JON MARBERGER, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2008

Optometrist (License #OEG000871 in PA)

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Initial NPI Registration & Enumeration May 24, 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: 1770586687
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: March 28, 2008
Deactivation Date: April 16, 2026

Mailing Address

Po Box 429, 2256 Mt Carmel Ave

Glenside, PA 190380429

Phone: 2155761321

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.