2026 NPPES data Optometrist NPI 1245294172 O.D.
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MARILYN BERKELY, O.D.

Optometrist in NEW CASTLE, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
38
Medicare Part D claims · 19 beneficiaries · Optometrist avg: 257
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$241.27
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARILYN BERKELY, O.D. is a Optometrist ([object Object]) practicing in NEW CASTLE, Pennsylvania with a Medicare Part D prescribing footprint of 38 claims across 19 beneficiaries — 34% brand-name prescribing . Industry payments of $241.27 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARILYN BERKELY, O.D. filed 38 Medicare Part D claims in 2023 across NEW CASTLE, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARILYN BERKELY, O.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 04/17/2006

NPI 1245294172

Primary specialty

Optometrist

High-volume

60,463 US NPIs in this specialty

Medicare Part D claims

38 85% vs specialty avg

2023 prescription claims

Specialty avg: 257

Specialty distribution in Pennsylvania

How Optometrist compares to other specialties among Pennsylvania providers

Pennsylvania providers

Optometrist share within Pennsylvania

1. Optometrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Optometrist share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Optometrist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Optometrist ABMS/AOA estimate

Est. board-certified rate (Optometrist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Optometrist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARILYN BERKELY, O.D. is a Optometrist provider practicing in NEW CASTLE, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: O.D.. NPI: 1245294172. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARILYN BERKELY, O.D. appears in the CMS NPPES registry as a Optometrist provider holding O.D. credentials at 142 ENCLAVE DR, NEW CASTLE, PA, 16105, with a listed phone of (724) 658-1781. NPI 1245294172 was issued on 04/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERKELY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 38 prescription claims written by this provider, covering 19 Medicare beneficiaries and totaling roughly $12K in drug spend, split 34% brand-name and 66% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Optometrist is a high-volume specialty nationwide, with 60,463 enrolled providers across 56 states and an average of 257 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

142 ENCLAVE DR
NEW CASTLE, PA 16105

Provider Details

NPI 1245294172
Specialty Optometrist
Credentials O.D.
Gender Female
NPI Issued 04/17/2006

Hospital and facility affiliations

Facilities where MARILYN BERKELY, O.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BERKELY EYE ASSOCIATES, LLC
NEW CASTLE, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for MARILYN BERKELY, O.D.. Source: openpaymentsdata.cms.gov.

Total received

$241

Largest payer

ABB Con-Cise Optical Group LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MARILYN BERKELY, O.D.. To verify MARILYN BERKELY, O.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

MARILYN BERKELY, O.D. — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 38 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

38
Total Claims
$12K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
50
Total Day Supply
1,104
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$10K
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
0.77

Optometrist Overview

How MARILYN BERKELY, O.D. fits within the Optometrist landscape nationally.

60,463
Optometrist Providers in US
56
States with Optometrist
257
Avg Claims per Provider

MARILYN BERKELY, O.D.'s 38 claims are below the specialty average of 257.

Nearby Optometrist Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as BERKELY.

Compare Optometrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARILYN BERKELY, O.D.'s specialty?
MARILYN BERKELY, O.D. specializes in Optometrist and practices in NEW CASTLE, Pennsylvania. Credentials: O.D..
How much does MARILYN BERKELY, O.D. prescribe under Medicare Part D?
In 2023, MARILYN BERKELY, O.D. wrote 38 Medicare Part D claims totaling $12K in drug costs for 19 beneficiaries.
Where is MARILYN BERKELY, O.D. located?
MARILYN BERKELY, O.D. is located at 142 ENCLAVE DR, NEW CASTLE, PA, 16105. Phone: (724) 658-1781.
What is MARILYN BERKELY, O.D.'s NPI number?
MARILYN BERKELY, O.D.'s National Provider Identifier (NPI) is 1245294172, issued on 04/17/2006.
Does MARILYN BERKELY, O.D. prescribe more brand-name or generic drugs?
MARILYN BERKELY, O.D.'s prescribing is 34% brand-name and 66% generic drugs by claim count, with $10K in brand drug costs.
How many Optometrist providers are there in the US?
There are 60,463 Optometrist providers across 56 states in the US. The average Optometrist provider writes 257 Medicare Part D claims per year.
Does MARILYN BERKELY, O.D. accept Medicare?
MARILYN BERKELY, O.D. appears in CMS Medicare data with 38 Part D claims and 19 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARILYN BERKELY, O.D.'s credentials?
MARILYN BERKELY, O.D.'s NPI is 1245294172 with credentials O.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology