MARK E BERNTHAL (OD) – Optometrist, NPI 1811991391

MARK E BERNTHAL (OD) is a healthcare provider. based in St clair shores, Michigan. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901002685 (MI). The NPI Number for MARK E BERNTHAL (OD) is 1811991391

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MARK E BERNTHAL (OD)
NPI
1811991391
Phone
(586) 774-0393
Address
21711 GREATER MACK AVE
Enumeration Date
13 June 2005
Last Update Date
11 June 2008

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
8107740393
Graduation Year
1979 (47 years ago)
PAC ID
5698969129
Group Practice PAC ID
3173562824
Professional Enrollment ID
I20101028001413
Address ID
MI480802418SA21711AVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for MARK E BERNTHAL (OD)

  • 21711, Greater Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48080, United States

    ST CLAIR SHORES, MI 480802418

    Phone: (586) 774-0393

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Oyster Point Pharma, Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101028001413IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system8181$0
View full utilization report →

Insurance plans in this area (ZIP 48080)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173562824View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
-MI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARK E BERNTHAL (OD)?
MARK E BERNTHAL (OD) — NPI 1811991391 — is the standard way to identify this listing.
Does CMS list MARK E BERNTHAL (OD) as active?
Yes — MARK E BERNTHAL (OD) is active in the NPI listing used on this page.
What taxonomy line describes MARK E BERNTHAL (OD)?
For research purposes, treat MARK E BERNTHAL (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does MARK E BERNTHAL (OD) serve?
MARK E BERNTHAL (OD)'s listing highlights St Clair Shores, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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