1. Home
  2. Directory
  3. Texas
  4. Boerne
  5. Family Medicine
  6. NPI Profile

MICHELLE D BERRY D.O
NPI 1033194527
Family Medicine in Boerne, TX

Active since December 07, 2005PECOS EnrolledAccepts Medicare Assignment
98.28/100
CMS Quality Rating
1201 S MAIN ST, STE 110, BOERNE, TX 78006(830) 249-6000(830) 816-6002 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michelle D Berry D.o NPPES

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

MICHELLE D BERRY D.O (NPI 1033194527) is an individual family medicine provider in Boerne, Texas, licensed in Texas (H9798) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1033194527
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELLE D BERRYCredential: D.O
Location Address1201 S MAIN ST, STE 110Boerne, TX 78006-2833
Mailing AddressPo Box 339Boerne, TX 78006-0339 · (830) 249-6000 · Fax (830) 816-6002
Phone(830) 249-6000
Fax(830) 816-6002
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1990
Enumeration DateDecember 7, 2005
Last NPPES UpdateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
✔ NPI 1033194527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H9798
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1201 S MAIN ST, Boerne, TX 78006
Open in Google Maps ↗

Secondary Practice Location 1

Location 19514 Console Dr Ste 203San Antonio, TX 78229-2069 · Phone (210) 530-9111

Other Identifiers 1

Medicaid0919698-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle D Berry D.o 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 ID6608787304
PECOS Enrollment IDI20090504000314
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
538 services176 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
391 services181 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This 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.
195 services106 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
143 services72 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
113 services113 patients

Hospital Affiliations CMS Care Compare

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78006 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.1
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
69%333 patients3/55-star benchmark: 93%
Cervical Cancer Screening
57%366 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
22%64 patients
Closing the Referral Loop: Receipt of Specialist Report
18%376 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
69%634 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
86%383 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
42%89 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
34%89 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%3,583 patients4/55-star benchmark: 100%
e-Prescribing
96%1,634 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%313 patients4/55-star benchmark: 100%
HIV Screening
84%808 patients5/55-star benchmark: 60%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
26%2,195 patients2/55-star benchmark: 61%
Provide Patients Electronic Access to Their Health Information
78%581 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 6% · 332 patients
Patients totalRate: 29% · 350 patients
28%350 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims40 services$4.29 avg. paid by Medicare
Collagen based wound filler, dry form, sterile, per gram of collagen A6010
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims501 services$29.92 avg. paid by Medicare
Hydrocolloid dressing, wound filler, paste, sterile, per ounce A6240
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims66 services$11.84 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$26.33 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 16

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

DR. BRIAN L FOWLER MD
Emergency Medicine
1201 S MAIN ST, SUITE 118
BOERNE, TX 78006
Kendall County (830) 815-1081
DR. BRYAN M DUNN MD
Emergency Medicine
1201 S MAIN ST, SUITE 118
BOERNE, TX 78006
Kendall County (830) 815-1081
ROCK PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1201 S MAIN ST, SUITE 121
BOERNE, TX 78006
Kendall County (830) 357-5052
DECISION HEIGHT, INC
Clinic/Center (Primary Care)
1201 S MAIN ST, STE 110
BOERNE, TX 78006
Kendall County (830) 249-6000
URGENT CARE & OCCUPATIONAL HEALTH CENTERS OF TEXAS, P.A.
Clinic/Center (Urgent Care)
1201 S MAIN ST, SUITE 118
BOERNE, TX 78006
Kendall County (830) 815-1081
STEPHEN BRYAN HICKS PA
Physician Assistant (Medical)
1201 S MAIN ST, 114
BOERNE, TX 78006
Kendall County (830) 816-6844
BETTY ACHIENG AJUOGA PHARM.D
Pharmacist
1201 S MAIN ST
BOERNE, TX 78006
Kendall County (830) 357-5052
HEART CONSULTANTS OF SAN ANTONIO, PLLC
Internal Medicine (Cardiovascular Disease)
1201 S MAIN ST, SUITE 209
BOERNE, TX 78006
Kendall County (210) 385-2624

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 Michelle Berry's NPI number?

The NPI number for Michelle Berry is 1033194527. It was assigned to this individual provider in the NPPES registry on December 7, 2005.

Where is Michelle Berry located?

Michelle Berry practices at 1201 S Main St Ste 110, Boerne, TX 78006. The listed phone number is (830) 249-6000.

What is Michelle Berry's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michelle Berry enrolled in Medicare?

Yes. Michelle Berry 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.

What insurance does Michelle Berry accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Michelle Berry 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 Michelle Berry affiliated with any hospitals?

According to CMS data, Michelle Berry is affiliated with Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michelle Berry was last updated on September 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.