DANA GERSTEN MD
NPI 1033536404
Family Medicine in Berkeley, CA

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
1711 WARD ST, BERKELEY, CA 94703(541) 386-3911 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2020, Jun 22, 2016 (2 updates tracked since 2016).

About Dana Gersten Md NPPES

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

DANA GERSTEN MD (NPI 1033536404) is an individual family medicine provider in Berkeley, California, licensed in California (158980) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1033536404
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDANA GERSTENCredential: MD
Location Address1711 WARD STBerkeley, CA 94703-2105
Mailing Address1711 Ward StBerkeley, CA 94703-2105
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 24, 2014
Last NPPES UpdateJuly 10, 20202 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1033536404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 158980
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.
1711 WARD ST, Berkeley, CA 94703

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

Dana Gersten 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 ID1557655107
PECOS Enrollment IDI20220104001303
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

4

Medicare enrollment records show Dana Gersten reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Geriatric Medicine
3260 SACRAMENTO ST
Berkeley, CA 94702
  • Reassigned Medicare billing, California enrollment
  • 241 clinicians in this Medicare group
Family Planning, Non-Surgical
13601 SAN PABLO AVE
San Pablo, CA 94806
  • Reassigned Medicare billing, California enrollment
  • 530 clinicians in this Medicare group
Adult Mental Health
720 SACRAMENTO ST
San Francisco, CA 94108
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: City & County Of San Francisco
  • 1,573 clinicians in this Medicare group
Family Medicine
1001 POTRERO AVE, BLDG 80 WARD 83 RM 320
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 842 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94703 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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 Dana Gersten's NPI number?

The NPI number for Dana Gersten is 1033536404. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Dana Gersten located?

Dana Gersten practices at 1711 Ward St, Berkeley, CA 94703. The listed phone number is (541) 386-3911.

What is Dana Gersten's specialty?

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

Is Dana Gersten enrolled in Medicare?

Yes. Dana Gersten 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 Dana Gersten's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Gersten reassigns Medicare benefits to 4 organizations: Lifelong Medical Care (Berkeley, CA), Contra Costa County (San Pablo, CA), City And Couny Of San Francisco (San Francisco, CA) and University Of California Sfgh Medical Group (San Francisco, CA). 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 Dana Gersten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dana Gersten was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.