Dr. Mareena Roufail , OD
Optometrist • Berkeley, CA
3100 San Pablo Ave
Berkeley, CA 947022498
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on August 17, 2020; this date does not establish years in practice.
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Published CMS data list 459 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99205 — New patient outpatient office visit: 211 service units.
- G2212 — Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or: 211 service units.
- 99215 — Established patient outpatient office visit: 19 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 4 records in the table · Guide: How to read Medicare Part B data
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More Medicare Part B services than 80% of clinicians listed under Optometrist in Berkeley, CA (2024, 37 clinicians with data). Median for this group: 106. Middle half: 31 to 247.
More Medicare Part B services than 75% of clinicians listed under Optometrist in California (2024, 2,094 clinicians with data). Median for this group: 155. Middle half: 52 to 416.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 21 in 2020 to 459 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
3100 San Pablo Ave
Berkeley, CA 947022498
CMS Doctors and Clinicians lists 1 group name: Vista Center For The Blind And Visually Impaired. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2020
What Public CMS Data Show
Optometrist: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
246 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $69,340 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $54,195 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $111.06 in 2022
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2022.
Years since graduation
6 years (graduated 2020)
CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2020
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Roufail has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Roufail as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Berkeley and California
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Optometrist in Berkeley, CA (2024, 37 clinicians with data). Median for this group: 106. Middle half: 31 to 247.
More Medicare Part B services than 75% of clinicians listed under Optometrist in California (2024, 2,094 clinicians with data). Median for this group: 155. Middle half: 52 to 416.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Optometrist in Berkeley, CA (2024, 37 clinicians with data). Median for this group: $11,453. Middle half: $3,812 to $27,899.
A higher Medicare-allowed amount than 85% of clinicians listed under Optometrist in California (2024, 2,094 clinicians with data). Median for this group: $15,581. Middle half: $5,434 to $39,022.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Optometrist in Berkeley, CA (2024, 37 clinicians with data). Median for this group: $7,958. Middle half: $2,932 to $21,184.
A higher Medicare payment amount than 85% of clinicians listed under Optometrist in California (2024, 2,094 clinicians with data). Median for this group: $10,496. Middle half: $3,625 to $26,794.
126 active clinicians are listed under Optometrist with a practice address in Berkeley, CA (8,312 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Berkeley
0% of these 126 clinicians have the CMS telehealth indicator.
57.1% of these 126 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 2086% from 21 in 2020 to 459 in 2024.
- 2020: 21
- 2021: 72
- 2022: 40
- 2023: 148
- 2024: 459
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Medicare-allowed amount
Medicare-allowed amount increased 2466% from $2,703 in 2020 to $69,340 in 2024.
- 2020: $2,703
- 2021: $9,052
- 2022: $5,888
- 2023: $19,435
- 2024: $69,340
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Paid by Medicare
Paid by Medicare increased 2798% from $1,870 in 2020 to $54,195 in 2024.
- 2020: $1,870
- 2021: $4,806
- 2022: $4,551
- 2023: $11,457
- 2024: $54,195
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Industry payments (Open Payments)
CMS data for industry payments (Open Payments) are available for 2022 only.
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2022 (payments made January 1 – December 31, 2022): fewer than 11 records totaling $111.06.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Bausch & Lomb Americas Inc. |
Food and Beverage
In-kind items and services
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ULTRA MULTIFOCAL TORIC | General | $111.06 |
Source: CMS Open Payments, program year 2022, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
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211 | 211 | $449.13 | $261.20 |
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G2212
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
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211 | 196 | $35.20 | $34.66 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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19 | 19 | $305.79 | $216.68 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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18 | 16 | $309.44 | $155.34 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2022-08-05NUCC Taxonomy Code: 152W00000X
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
NUCC Taxonomy Code: 152W00000X
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPTOMETRY
I20220727001279
CA
2567882764
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Vista Center For The Blind And Visually Impaired
2500 El Camino Real, Palo Alto, CA 943061723
Phone: 6508580202
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Ophthalmology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3100 SAN PABLO AVE, BERKELEY, CA 947022498 (Tel: 5109855100)
Registered at 3100 SAN PABLO AVE, BERKELEY, CA 947022498 (Tel: 5109855100)
Recorded as MAREENA ROUFAIL, OD
NPI status registered as active in NPPES database
Registered at 900 MERIDIAN E STE 18, MILTON, WA 983547003 (Tel: 2539275252)
Registered at 7513 PLYMOUTH WAY, RANCHO CUCAMONGA, CA 917306620 (Tel: 9093484301)
Recorded as MAREENA ROUFAIL
Optometrist (license number reported to NPPES: WA OD61092875)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Optometrists in Berkeley
- Dr. Anne Tasaki, OD
- Dr. Emily Gorski, OD
- Dr. Katherine Cabero, OD
- Dr. Doro Hsu, OD
- Dr. Michael Kiyomoto, OD
- Dr. Kathryn Johnson, OD
Mailing Address
3100 San Pablo Ave
Berkeley, CA 947022498
Phone: 5109855100