XABIER BERISTAIN MD
NPI 1124025135
Psychiatry & Neurology - Neurology in Columbus, IN

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
2138 25TH ST STE F, COLUMBUS, IN 47201(812) 376-3100 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 9, 2024, May 8, 2024, Jun 6, 2022 and 1 more (4 updates tracked since 2017).

About Xabier Beristain Md NPPES

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

XABIER BERISTAIN MD (NPI 1124025135) is an individual neurology provider in Columbus, Indiana, licensed in Indiana (01048980A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Vero Beach.

NPPES Registry Identity

NPI1124025135
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameXABIER BERISTAINCredential: MD
Location Address2138 25TH ST STE FColumbus, IN 47201-3241
Mailing AddressPo Box 775383Chicago, IL 60677-5383 · (812) 376-5315
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 5, 2005
Last NPPES UpdateSeptember 9, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1124025135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses Licensed in IN · 01048980A Licensed in FL · ME129295
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License MD19031 (ME)
2138 25TH ST STE F, Columbus, IN 47201

Secondary Practice Location 1

Location 13450 11th Ct, Suite 305BVero Beach, FL 32960-5012 · Phone (772) 770-6848 · Fax (772) 770-6849

Other Identifiers 1

Medicaid200345820IN

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

Xabier Beristain 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 ID840268157
PECOS Enrollment IDI20040923000441
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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
6,910 services13 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.
784 services399 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
125 services125 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
62 services54 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
57 services57 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
48 services48 patients

Hospital Affiliations CMS Care Compare 4

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Decatur County Memorial Hospital

Critical Access Hospitals · Greensburg, IN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number151332
Location720 N Lincoln StGreensburg, IN 47240 · Decatur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers12 claims50 services$1.98 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$25.50 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 8

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

Psychiatry & Neurology (Neurology)
2138 25TH ST STE F
COLUMBUS, IN 47201
Nurse Practitioner (Family)
2138 25TH ST STE F
COLUMBUS, IN 47201
Psychiatry & Neurology (Neurology)
2138 25TH ST STE F
COLUMBUS, IN 47201
Physical Medicine & Rehabilitation
2138 25TH ST STE F
COLUMBUS, IN 47201
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
2138 25TH ST STE F
COLUMBUS, IN 47201
Psychiatry & Neurology (Neurology)
2138 25TH ST STE F
COLUMBUS, IN 47201
Psychiatry & Neurology (Neurology)
2138 25TH ST STE F
COLUMBUS, IN 47201
Psychiatry & Neurology (Neurology)
2138 25TH ST STE F
COLUMBUS, IN 47201

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 Xabier Beristain's NPI number?

The NPI number for Xabier Beristain is 1124025135. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Xabier Beristain located?

Xabier Beristain practices at 2138 25th St Ste F, Columbus, IN 47201. The listed phone number is (812) 376-3100.

What is Xabier Beristain's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Xabier Beristain enrolled in Medicare?

Yes. Xabier Beristain 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 Xabier Beristain accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Xabier Beristain 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 Xabier Beristain affiliated with any hospitals?

According to CMS data, Xabier Beristain is affiliated with Indiana University Health, Norton-King's Daughters' Health, Columbus Regional Hospital and Decatur County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Xabier Beristain was last updated on September 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.