SCOTT BERMAN MD
NPI 1093707572
Obstetrics & Gynecology in Stony Brook, NY

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
2500 NESCONSET HWY, BUILDING 12 SUITE 45, STONY BROOK, NY 11790(631) 675-9010(631) 675-9009 Get Directions Write a Review

NPPES record last updated: May 17, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Scott Berman Md NPPES

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

SCOTT BERMAN MD (NPI 1093707572) is an individual obstetrics & gynecology provider in Stony Brook, New York, licensed in New York (224865) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1093707572
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameSCOTT BERMANCredential: MD
Location Address2500 NESCONSET HWY, BUILDING 12 SUITE 45Stony Brook, NY 11790-2555
Mailing Address2500 Nesconset Hwy, Building 12 Suite 45Stony Brook, NY 11790-2555 · (631) 675-9010 · Fax (631) 675-9009
Fax(631) 675-9009
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 19, 2005
Last NPPES UpdateMay 17, 2012
✔ NPI 1093707572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 224865
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 224865 (NY)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 224865 (NY)
2500 NESCONSET HWY, Stony Brook, NY 11790

Other Identifiers 3

Medicare UPINH79348
Medicare PIN611E11NY
Medicaid02359644NY

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

Scott Berman 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 ID4486692712
PECOS Enrollment IDI20050418001382
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

3

Medicare enrollment records show Scott Berman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Service
284 PULASKI RD
Greenlawn, NY 11740
  • Reassigned Medicare billing, New York enrollment
  • 67 clinicians in this Medicare group
Hospitalist
1300 ROANOKE AVE
Riverhead, NY 11901
  • Reassigned Medicare billing, New York enrollment
  • 134 clinicians in this Medicare group
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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 3

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.
29 services17 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11790 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
58%64 patients3/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
91%593 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
40%514 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 54% · 590 patients
51%590 patients3/55-star benchmark: 98%
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.

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.

Chiropractor
2500 NESCONSET HWY, BUILDING 12A
STONY BROOK, NY 11790
Psychologist (Clinical)
2500 NESCONSET HWY, BLDG 5D
STONYBROOK, NY 11790
Psychiatry & Neurology (Neurology)
2500 NESCONSET HWY, SUITE 16A
STONY BROOK, NY 11790
Physician Assistant (Medical)
2500 NESCONSET HWY, BUILDING 7D
STONY BROOK, NY 11790
Physical Therapist
2500 NESCONSET HWY
STONY BROOK, NY 11790
Internal Medicine (Hematology & Oncology)
2500 NESCONSET HWY, BLDG 26B
STONY BROOK, NY 11790
Specialist
2500 NESCONSET HWY, BLDG 15H
STONY BROOK, NY 11790
Radiology (Diagnostic Radiology)
2500 NESCONSET HWY, BLDG 15
STONY BROOK, NY 11790

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 Scott Berman's NPI number?

The NPI number for Scott Berman is 1093707572. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Scott Berman located?

Scott Berman practices at 2500 Nesconset Hwy Building 12 Suite 45, Stony Brook, NY 11790. The listed phone number is (631) 675-9010.

What is Scott Berman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Scott Berman enrolled in Medicare?

Yes. Scott Berman 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 Scott Berman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Berman reassigns Medicare benefits to 3 organizations: Huntington Hospital Dolan Family Health Center (Greenlawn, NY), Central Suffolk Hospital (Riverhead, NY) and North Shore-Lij Medical PC (Great Neck, NY). 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 Scott Berman'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 Scott Berman was last updated on May 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.