ALLYSON JEAN PIZZO-BERKEY MD
NPI 1003056821
General Practice in Newport Beach, CA
Quality Rating: 0 out of 100 score
NPI Status: Active since March 06, 2009
Contact Information
351 HOSPITAL RD
SUITE 305
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 612-7430
Fax: (949) 612-7431
- Individual
- Female
- General Practice
About ALLYSON PIZZO-BERKEY
This page provides the complete NPI Profile along with additional information for Allyson Pizzo-berkey, a primary care provider established in Newport Beach, California with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1003056821 assigned on March 2009. The practitioner's primary taxonomy code is 208D00000X with license number G077666 (CA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1003056821
- Provider Name
- ALLYSON JEAN PIZZO-BERKEY MD
- Other Name
- ALLYSON JEAN BERKEY MD
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 351 HOSPITAL RD SUITE 305 NEWPORT BEACH, CA 92663
- Location Phone
- (949) 612-7430
- Location Fax
- (949) 612-7431
- Mailing Address
- 351 HOSPITAL RD SUITE 305 NEWPORT BEACH, CA 92663
- Mailing Phone
- (949) 612-7430
- Mailing Fax
- (949) 612-7431
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-06-2009
- Last Update Date
- 02-10-2017
- Code Navigator
A primary care provider (PCP) like Allyson Pizzo-berkey sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G077666
- License State
- CA
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F69835 | OTHER (01) | CA | UPIN |
| 1841749041 | MEDICARE UPIN (02) | CA |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Amnioarmor, per square centimeter
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less
Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, each additional 25.0 sq cm of wound 100.0 sq cm or less
Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less
Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less
Established patient home visit, typically 25 minutes
Established patient office or other outpatient visit, 20-29 minutes
New patient home visit, typically 30 minutes
Removal of fingernails or toenails, 1-5 nails
Removal of fingernails or toenails, 6 or more nails
Removal of inflamed or infected skin, up to 10% of body surface
Removal of skin and tissue, 20.0 sq cm or less
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less
Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less
Vendaje, per square centimeter
Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter
Zenith amniotic membrane, per square centimeter
AmnioArmor is a type of advanced wound care. It involves the application of a special, bioactive tissue matrix that aids in healing. This matrix is measured per square centimeter, indicating the size of the wound area being treated. It's a safe, effective method to promote wound recovery.
This service was performed 3,837 times for 119 patientsThis procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.
This service was performed 310 times for 64 patientsThis procedure involves applying a skin-like material to a wound on specific body areas to aid healing. The material, which mimics real skin, helps promote new skin growth. It's used for wounds of up to 100 sq cm, with each additional 25 sq cm treated separately.
This service was performed 55 times for 12 patientsThis procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.
This service was performed 2,197 times for 353 patientsThis procedure involves applying a skin substitute graft to a wound on your trunk, arms, or legs. The graft, which is a type of artificial skin, helps promote healing by covering the wound. This description refers to additional grafts for wounds up to 100 sq cm.
This service was performed 576 times for 86 patientsAn established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
This service was performed 22,261 times for 3,370 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 135 times for 49 patientsA new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
This service was performed 3,143 times for 3,136 patientsThis procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
This service was performed 13 times for 13 patientsThis procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
This service was performed 1,935 times for 1,422 patientsThis procedure involves the surgical removal of inflamed or infected skin covering up to 10% of your body surface. It's done to prevent the spread of infection and promote healing. Local or general anesthesia is used to ensure comfort during the process.
This service was performed 4,329 times for 1,673 patientsThis procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
This service was performed 20,336 times for 2,884 patientsA skin substitute graft is a medical procedure where artificial skin is used to cover a large wound on the trunk, arms, or legs. This treatment helps promote healing and is especially useful for wounds 100.0 sq cm or more, or 1% of body area for infants and children.
This service was performed 70 times for 20 patientsThis procedure involves applying a skin substitute graft to a large wound on your trunk, arms, or legs. The graft, made from synthetic or natural materials, aids in healing by covering and protecting the wound. The size of the graft depends on the wound's area.
This service was performed 70 times for 16 patients"Vendaje, per square centimeter" is a medical service referring to bandaging. This involves applying a protective material over a wound or injury, measured by each square centimeter covered. The purpose is to protect, support, or restrict movement to aid in healing.
This service was performed 9,312 times for 132 patientsThese are types of advanced wound care treatments. Woundfix, Biowound, and their plus or xplus versions are designed to promote faster healing. They are applied per square centimeter of the wound. The plus versions have additional healing components, and xplus offers even more advanced care.
This service was performed 3,736 times for 58 patientsThe Zenith amniotic membrane is a type of treatment derived from the amniotic membrane, a part of the placenta. It's used to promote healing in various medical conditions, often involving the eyes or skin. It can help reduce inflammation, prevent scarring, and stimulate tissue regeneration.
This service was performed 38,912 times for 325 patientsOverall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 0, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 0 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 0
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 0
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003056821, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003056821, enumerated as an "individual" on March 06, 2009.
The provider is located at 351 HOSPITAL RD SUITE 305 NEWPORT BEACH, CA 92663 and the phone number is (949) 612-7430.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.