Doctor profile · Federal record
Dr. MARY PEMBERTON, O.D.
Optometrist (CMS: OPTOMETRY) · Corneal and Contact Management Optometrist · Pediatric Optometrist · WAYNESBORO, VA
- NPI 1003802422
- Accepts Medicare
- 28 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2522 JEFFERSON HWY, SUITE 106
WAYNESBORO, VA 229808503
(540) 946-8727
fax (540) 949-5526
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- February 14, 2008
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State licenses (2)
- Virginia #061800738 · Virginia #0618000738
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1003802422. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
364
Distinct HCPCS
6
Medicare allowed
$36,599
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
92014 |
Established patient complete exam of visual system | 165 | 159 | $125 | |
92012 |
Established patient problem focused exam of visual system | 67 | 47 | $88 | |
92004 |
New patient complete exam of visual system | 40 | 40 | $148 | |
92083 |
Exam of visual field with extended testing | 37 | 28 | $62 | |
92133 |
Imaging of optic nerve | 37 | 28 | $33 | |
92134 |
Imaging of retina | 18 | 17 | $40 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 60. This provider delivers 6.1× the peer median.Open Payments
Industry payments received
All-time total
$50
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bausch & Lomb Americas Inc. | 1 | $19.81 | |
| Johnson & Johnson Vision Care, Inc. | 1 | $16.81 | |
| Mallinckrodt Hospital Products Inc. | 1 | $13.21 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
31
Patients
0
Total drug cost
$356
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Latanoprost | Generic | 31 | 0 | $356 |