ANDREW R BERMAN MD
NPI 1114016524
Internal Medicine - Pulmonary Disease in Newark, NJ

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN ST, SUITE 4500, NEWARK, NJ 07103(973) 972-2500 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew R Berman Md NPPES

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

ANDREW R BERMAN MD (NPI 1114016524) is an individual pulmonary disease provider in Newark, New Jersey, licensed in New Jersey (25MA08914600) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1988).

NPPES Registry Identity

NPI1114016524
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameANDREW R BERMANCredential: MD
Location Address90 BERGEN ST, SUITE 4500Newark, NJ 07103-2425
Mailing Address150 Bergen St, University Hospital I-354Newark, NJ 07103-2496 · (973) 972-6111 · Fax (973) 972-6228
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1988
Enumeration DateOctober 12, 2006
Last NPPES UpdateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
NPI 1114016524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NJ · 25MA08914600
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
90 BERGEN ST, Newark, NJ 07103

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

Andrew R 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 ID9931152915
PECOS Enrollment IDI20110914000246
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 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
76 services43 patients
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.
60 services25 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.
30 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.
26 services19 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.
23 services22 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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.

General Acute Care Hospital
90 BERGEN ST, DOC # 3300, UMDNJ
NEWARK, NJ 07103
Surgery
90 BERGEN ST
NEWARK, NJ 07103
Internal Medicine (Pulmonary Disease)
90 BERGEN ST, DOC 4500
NEWARK, NJ 07103
Pediatrics
90 BERGEN ST, SUITE 4300
NEWARK, NJ 07103
Orthopaedic Surgery
90 BERGEN ST, DOC SUITE 7300
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
90 BERGEN ST
NEWARK, NJ 07103
Physical Medicine & Rehabilitation
90 BERGEN ST, DOC 3100
NEWARK, NJ 07103

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 Andrew Berman's NPI number?

The NPI number for Andrew Berman is 1114016524. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Andrew Berman located?

Andrew Berman practices at 90 Bergen St Suite 4500, Newark, NJ 07103. The listed phone number is (973) 972-2500.

What is Andrew Berman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Andrew Berman enrolled in Medicare?

Yes. Andrew 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.

Is Andrew Berman affiliated with any hospitals?

According to CMS data, Andrew Berman is affiliated with Jersey Shore University Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Andrew Berman was last updated on February 3, 2022. 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.