Active NPI
Jon Mark Berry, M.D.
- Ophthalmology Physician
- Live Oak, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H9797
- Practice address
- 11601 Toepperwein Rd
Live Oak, TX 78233-3147 - Phone
- (210) 946-2020
- Fax
- (210) 590-3936
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H9797 | TX | Primary |
Addresses
Primary practice location
11601 Toepperwein Rd
Live Oak, TX 78233-3147
Mailing address
11601 Toepperwein Rd
Live Oak, TX 78233-3147
Phone (210) 946-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084865701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110503000772 | TX | Practitioner - Ophthalmology | 2163480724 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Texas Southwestern Medical School at Dallas, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alamo City Eye Physicians PA
Practice addresses (Care Compare)
11601 Toepperwein Rd
Live Oak, TX 78233-3403
Phone (210) 946-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.74 of 100
- Quality
- 88.37
- Improvement activities
- 40
- Cost
- 81.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 165 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H9797 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamo City Eye Physicians PA | Ophthalmology | Current | Accepting new patients |
| Alamo City Eye Physicians PA | Current | Accepting new patients | |
| Surgical Eye Center of San Antonio | Current | Accepting new patients | |
| Alamo Cty Eye Physicians | Past | Accepting new patients |
Locations
11601 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 946-2020
19026 Stone Oak Pkwy
Ste 216
San Antonio, TX 78258
Phone (210) 946-2020
3327 Research Plz
Ste 306
San Antonio, TX 78235
Phone (210) 946-2020
Interoperability endpoints
- j.berry.p2@direct.saeye.nextgenshare.com
Organizations & group practices 4
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.
-
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
- NPI 1699899278
-
- Durable Medical Equipment & Medical Supplies
- San Antonio, TX
- NPI 1699016535
-
- Ambulatory Surgical Clinic/Center
- Live Oak, TX
- NPI 1871915041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174637482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11601 TOEPPERWEIN RD",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333147",
"telephone_number": "210-946-2020",
"fax_number": "210-590-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11601 TOEPPERWEIN RD",
"city": "LIVE OAK",
"state": "TX",
"postal_code": "782333147",
"telephone_number": "210-946-2020",
"fax_number": "210-590-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "JON",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "H9797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084865701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Live Oak, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.