YAW D BERKO MD
NPI 1003952995
Internal Medicine in Green Bay, WI

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
1726 SHAWANO AVE, GREEN BAY, WI 54303(920) 496-4700 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 8, 2021, Oct 27, 2020 (2 updates tracked since 2020).

About Yaw D Berko Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YAW D BERKO MD (NPI 1003952995) is an individual internal medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (50019-020) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1003952995
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameYAW D BERKOCredential: MD
Location Address1726 SHAWANO AVEGreen Bay, WI 54303-3216
Mailing Address4388 Gull Prairie Dr Apt 3bKalamazoo, MI 49048-3121 · (269) 382-2516
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 29, 2007
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1003952995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 50019-020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1726 SHAWANO AVE, Green Bay, WI 54303

Other Identifiers 1

Other50019-020WI · Wisconsin State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yaw D Berko Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608974050
PECOS Enrollment IDI20070607000528
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

16

Medicare enrollment records show Yaw Berko reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1726 SHAWANO AVE
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 57 clinicians in this Medicare group
Surgery
900 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 216 clinicians in this Medicare group
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group
General Acute Care Hospital
1506 S ONEIDA ST
Appleton, WI 54915
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 clinicians in this Medicare group
Counselor
1095 MIDWAY RD
Menasha, WI 54952
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
General Acute Care Hospital
430 E DIVISION ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
Internal Medicine
3113 SAEMANN AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
173 services96 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
165 services161 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
135 services69 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
122 services120 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
102 services100 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services18 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, fixed height, without side rails, with mattress E0290
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$21.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers21 claims21 services$105.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Internal Medicine (Gastroenterology)
1726 SHAWANO AVE
GREEN BAY, WI 54303
Physician Assistant
1726 SHAWANO AVE
GREEN BAY, WI 54303
Family Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303
Physical Therapist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Clinical Medical Laboratory
1726 SHAWANO AVE
GREEN BAY, WI 54303
Hospitalist
1726 SHAWANO AVE
GREEN BAY, WI 54303
Family Medicine
1726 SHAWANO AVE
GREEN BAY, WI 54303

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yaw Berko's NPI number?

The NPI number for Yaw Berko is 1003952995. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Yaw Berko located?

Yaw Berko practices at 1726 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 496-4700.

What is Yaw Berko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yaw Berko enrolled in Medicare?

Yes. Yaw Berko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Yaw Berko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yaw Berko reassigns Medicare benefits to 16 organizations: St Mary's Hospital Medical Center Of Green Bay Inc.-Hospital Sisters (Green Bay, WI), St. Clare Memorial Hospital, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), Prevea Clinic, Inc. (Green Bay, WI), Baycare Aurora, LLC (Green Bay, WI) and 11 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yaw Berko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yaw Berko accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Yaw Berko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Yaw Berko affiliated with any hospitals?

According to CMS data, Yaw Berko is affiliated with Ascension NE Wisconsin - St Elizabeth Campus, Thedacare Regional Med Ctr - Neenah, Fort Memorial Hospital, St. Agnes Hospital Hospice and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Yaw Berko was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.