Individual provider Active NPI

Jay Berdia, MD

  • Ophthalmology Physician
  • Hagerstown, MD
National Provider Identifier
1114260163
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2017-00822 Issued in NC
Practice address
1800 Dual Highway
Suite 201
Hagerstown, MD 21740-6636
Phone
(301) 665-1712
Fax
(301) 665-1714
NPI assigned
Mar 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 2017-00822 NC Primary

Addresses

Primary practice location

1800 Dual Highway
Suite 201
Hagerstown, MD 21740-6636

Mailing address

1800 Dual Highway
Suite 201
Hagerstown, MD 21740-6636
Phone (301) 665-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA, WV4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180723001538 MD Practitioner - Ophthalmology 4385906387 Reassigns benefits to 1 organization
I20180731001421 DC Practitioner - Ophthalmology 4385906387 Reassigns benefits to 1 organization
I20180815000539 PA Practitioner - Ophthalmology 4385906387 Reassigns benefits to 1 organization
I20180903000013 WV Practitioner - Ophthalmology 4385906387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland Valley Retina Consultants PCGroup PAC ID 4688612591, 5 clinicians

Practice addresses (Care Compare)

1800 Dual Hwy
Suite 201
Hagerstown, MD 21740-6636
Phone 30166517121027

414 Epic Dr
Chambersburg
Chambersburg, PA 17201-2887
Phone (717) 263-6857

6333 Executive Blvd
Rockville, MD 20852-3905
Phone 30166517121027

710 Somerset Blvd
Suite 101
Charles Town, WV 25414-4998
Phone (301) 665-1712

Hospital & facility affiliations

  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-00822NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Valley Retina Consultants PC Ophthalmology CurrentSince Jul 11, 2018 Accepting new patients
Cumberland Valley Retina Consultants PC CurrentSince May 18, 2025 Accepting new patients
Cumberland Valley Retina Consultants PC PastSince May 18, 2025 Accepting new patients

Locations

12800 Middlebrook Rd
Ste 408
Germantown, MD 20874

1800 Dual Hwy
Ste 201
Hagerstown, MD 21740
Phone 30166517121027

1150 Opal Ct
Hagerstown, MD 21740
Phone 3016651712202

6333 Executive Blvd
Rockville, MD 20852
Phone (301) 770-2020

414 Epic Dr
Chambersburg, PA 17201
Phone (717) 263-6857

20 Expedition Trl
Ste 110B
Gettysburg, PA 17325
Phone (717) 339-0700

710 Somerset Blvd
Ste 101
Charles Town, WV 25414
Phone (304) 725-2121

2002 Professional Ct
Martinsburg, WV 25401
Phone (304) 267-4273

Interoperability endpoints

  • Direct secure messaging: jberdia@cvrc.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1114260163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 DUAL HIGHWAY",
            "address_2": "SUITE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406636",
            "telephone_number": "301-665-1712",
            "fax_number": "301-665-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 DUAL HIGHWAY",
            "address_2": "SUITE 201",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406636",
            "telephone_number": "301-665-1712",
            "fax_number": "301-665-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDIA",
        "first_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2017-00822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.