WILLIAM R BERRY M.D.
NPI 1043250590
Internal Medicine - Hematology & Oncology in Raleigh, NC

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
4101 MACON POND DR, RALEIGH, NC 27607(919) 781-7070 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William R Berry M.d. NPPES

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

WILLIAM R BERRY M.D. (NPI 1043250590) is an individual hematology & oncology provider in Raleigh, North Carolina, licensed in North Carolina (22548) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of Duke University School Of Medicine (1974).

NPPES Registry Identity

NPI1043250590
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameWILLIAM R BERRYCredential: M.D.
Location Address4101 MACON POND DRRaleigh, NC 27607-6319
Mailing Address3409 White Oak RdRaleigh, NC 27609-7620 · (919) 783-5532
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 1974
Enumeration DateJune 6, 2006
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
NPI 1043250590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in NC · 22548
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 76967 (MN)
4101 MACON POND DR, Raleigh, NC 27607

Other Identifiers 1

Medicaid8915198NC

Accepted 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

William R Berry M.d. 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 ID3779525654
PECOS Enrollment IDI20050601000906, I20240618002576
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 7

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 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.
82 services73 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.
27 services25 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
25 services23 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
23 services21 patients
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.
21 services19 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$165.09 typical visit price
range $54.12 – $165.09
Typical copayment $41.27 (range $13.53 – $41.27)
Most-billed visit code 99205
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES

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

Internal Medicine (Hematology & Oncology)
4101 MACON POND DR
RALEIGH, NC 27607

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 William Berry's NPI number?

The NPI number for William Berry is 1043250590. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is William Berry located?

William Berry practices at 4101 Macon Pond Dr, Raleigh, NC 27607. The listed phone number is (919) 781-7070.

What is William Berry's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is William Berry enrolled in Medicare?

Yes. William 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 William Berry accept?

Health plans from Blue Cross and Blue Shield of NC and Medica list William 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 William Berry affiliated with any hospitals?

According to CMS data, William Berry is affiliated with Essentia Health St Joseph's Medical Center and Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for William Berry was last updated on June 5, 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.